Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002116 DEA: 081N2104 EFIS: 0822000119
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-26.2/R37.0
Work Description: Structural concrete, furnish and place polyester concrete overlay.
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM TIPPECANOE AVENUE IN LOMA LINDA TO LIVE OAK CANYON ROAD IN YUCAIPA
Contractor Name: Peterson Chase Construction
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Heena Sharafat Structure Rep.: Kong Hoang
DIME Sample ID: 2026-04-27-14
TL Number from the TL Form: 213KBP
Sample Submitted By Organization: Kwik Bond Polymers
Sample Organization Contact: (760) 518-6064
Type of Sample: Quality Control
Type of Material: Methacrylate
Sample Taken Date: 04/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2026
The quantity of what the sample constitutes: 100 Totes
A brief description of the sample: 2 pints KBP 204, CHP, 8020
From where was the sample collected: Source
Laboratory sample identification: 26-017
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
DIME Test ID: 2026-04-27-14-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 06/17/2026
Date Tested: 06/17/2026
Submitted By Organization: Future Labs, LLC
Organization Address: 124 Lone Wolf Drive,
Organization City: Madison
Organization State: MS
Organization Zipcode: 39110
Organization Email: alexh@futurelabsllc.com
Organization Phone:
General Comments for this Test: PCC-SSD bond strength(CT 551) and tack free time accepted based on supplier's results.
Test Result Compliance: complies
Additional Comments When Verified:
|
Viscosity (ASTM D 2196) Brookfield RVT with UL adapter, 50 RPM @ 77 deg F, 25 max cps @ 77 deg F
|
20 cps
|
|
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
|
9.1
|
|
Volatile content (ASTM D 2369) 30% max
|
3.5 %
|
|
Flash point (ASTM D 3828) more than 180 deg F
|
212 F
|
|
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
|
633 psi
|
|
Tack free time, 400 minutes max
|
351 minutes
|