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Sample Record for 2022-09-07-38

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

Project Information

Project ID: 993629 DEA: 112N0874 EFIS: 1119000220 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5,15,76,78-Var
Work Description: PPLY METHACRYLATE, PLACE POLYESTER CONCRETE OVERLAY Apply Methacrylate on bridge deck
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: J. FRANCIS COMPANY
Contractor Address: 16197 Krameria Ave, Riverside, CA 92504
Resident Engineer: Ali Demir Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-09-07-38
TL Number from the TL Form: Sacramento Caltrans lab
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: 09/07/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/07/2022
The quantity of what the sample constitutes: 100 Totes
A brief description of the sample: 2 pints 204,chp,,8020
From where was the sample collected: Source
Laboratory sample identification: 943124
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia

Material Information

Mfg. Lot Number(s): 22-90-391490
Batch number: 2290391490
Mix number: 2290391490
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-09-07-38-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 05/03/2023
Date Tested: 05/03/2023
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joe.harline@dot.ca.gov
Organization Phone: (916) 206-4373
General Comments for this Test: Accepted Suppliers Bond and Tack Free Time.
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 19.5
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.09
Volatile content (ASTM D 2369) 30% max 25
Flash point (ASTM D 3828) more than 180 deg F 180
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 779.8
Tack free time, 400 minutes max 352