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Sample Record for 2018-01-01-14

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-01-01-14
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Control
Type of Material: Polyester
Sample Taken Date: 01/01/2018
Date that the sample was received by the laboratory/organization performing the testing: 01/01/2018
The quantity of what the sample constitutes: da
A brief description of the sample: asd
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: asd

Material Information

Mfg. Lot Number(s): 11111
Batch number: 1111
Mix number: 1111
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2018-01-01-14-2
Test Method: CONCLP 3-16: Polyester Resin
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
Data has not been verified.

Test 2 of 5

DIME Test ID: 2018-01-01-14-3
Test Method: CONCLP 3-16: Polyester Resin
Verified Date: 01/22/2018
Date Tested: 01/22/2018
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Viscosity ASTM D 2196, RVT, No. 1 spindle 75 to 200 cps @ 20 RPM, 77°F 21
Specific gravity ASTM D 1475 1.05 to 1.10 @ 77°F 1.08
Conditioning (18/25/50 + 5/70) Elogation ASTM D 638, minimum 35% no data0 %
Tensile Strength ASTM D 638 Type 1 @ 0.45 in/min, minimum 2500 psi no data0 psi
Styrene ASTM D 2369 40% to 50 % 45
PCC - SSD bond strength CTM 551 500 psi minimun @ 24 hours no data0 psi
Static Volatile Emissions, SCAQMD 309-91, maximum loss 1.0 grams no data0 grams

Test 3 of 5

DIME Test ID: 2018-01-01-14-4
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
This test has been superseded on 01/22/2018.
Reason: retested

Test 4 of 5

DIME Test ID: 2018-01-01-14-5
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
Verified Date: 01/22/2018
Date Tested: 01/22/2018
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Mean of two volatile content determination 52

Test 5 of 5

DIME Test ID: 2018-01-01-14-6
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
Verified Date: 04/25/2023
Date Tested: 04/25/2023
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Viscometer manufacturer no data
Viscometer model no data
Viscometer spindle no data
Specimen temperature no data
Shake time and Rest period no data
Calibration factor 10
Reading of viscometer 9
Viscosity 90