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Sample Record for 2022-05-17-65

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Project Information

Project ID: 215632 DEA: 074W5104 EFIS: 0718000365 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-405-0.8/47.8
Work Description: DECK REPAIR, CLEAN EXPANSION JOINTS, REPLACE JOINT SEAL.
Location Description: IN LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 0.2 MILE WEST OF STERNS STREET UNDERCROSSING TO RINALDI STREET UNDERCROSSING
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Edgar Herrera Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-05-17-65
TL Number from the TL Form: 943111
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Quality Assurance
Type of Material: Methacrylate
Sample Taken Date: 05/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2022
The quantity of what the sample constitutes: 2 pint cans
A brief description of the sample: HMWM
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik-Bond

Material Information

Mfg. Lot Number(s): 22-50-191290
Batch number: 2250191290
Mix number: 2250191290
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2022-05-17-65-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 09/22/2022
Date Tested: 05/24/2022
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 supplier's results for PCC-SSD Bond Strength (CT 551)
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 19.97
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.08
Volatile content (ASTM D 2369) 30% max 19.62
Flash point (ASTM D 3828) more than 180 deg F 195
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 902
Tack free time, 400 minutes max 343