Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993778 DEA: 042W5404 EFIS: 0421000234
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-4.0/4.6
Work Description: PLACE POLYESTER CONCRETE OVERLAY.
Location Description: MARIN COUNTY NEAR SAUSALITO FROM 0.7 MILE NORTH OF WALDO UNDERCROSSING TO 0.2 MILE SOUTH OF FRONTAGE ROAD
Contractor Name: GOLDEN STATE BRIDGE INC
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Dawit Habteselassie Structure Rep.: Unknown
DIME Sample ID: 2023-04-20-31
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: Polyester
Sample Taken Date: 04/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/21/2023
The quantity of what the sample constitutes: 10 Tankers
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification: 943772
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
DIME Test ID: 2023-04-20-31-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
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
Data has not been verified.
DIME Test ID: 2023-04-20-31-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
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
Data has not been verified.
DIME Test ID: 2023-04-20-31-3
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
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
Data has not been verified.
DIME Test ID: 2023-04-20-31-4
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
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
Data has not been verified.
DIME Test ID: 2023-04-20-31-5
Test Method: CTM 551-August 2012: Method of Test for Determining Suitability of Materials for Overlayment and Repair of Portland Cement Concrete Pavements and Structures
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
Data has not been verified.
DIME Test ID: 2023-04-20-31-6
Test Method: SCAQMD 309-91-Feb93: Determination of Static Volatile Emissions
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
Data has not been verified.
