Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211948 DEA: 073W2204 EFIS: 0716000011
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R0.0/R15.8
Work Description: REPLACE BRIDGE APPROACH SLABS AND REHABILITATE DECKS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES AND GLENDALE FROM NORTH CONNECTOR OVERCROSSING TO HONOLULU AVENUE UNDERCROSSING
Contractor Name: West Coast Structures, Inc.
Contractor Address: 6005 Tyler St., Riverside, CA,92503
Resident Engineer: Patricia Amadi Structure Rep.: Adriana Pimienta
DIME Sample ID: 2017-06-14-10
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: 06/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/14/2017
The quantity of what the sample constitutes: 25000 gal
A brief description of the sample: 2 pints 204,chp,zcure,8020
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: kwik Bond, Benecia
DIME Test ID: 2017-06-14-10-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/10/2017
Date Tested: 07/10/2017
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: spencer.adams@dot.ca.gov
Organization Phone: (916) 227-5716
General Comments for this Test: accepted bond on suppliers Q.C. 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
|
19.6 cps
|
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
|
1.09
|
Volatile content (ASTM D 2369) 30% max
|
25.3 %
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Flash point (ASTM D 3828) more than 180 deg F
|
275 F
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PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
|
694 psi
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Tack free time, 400 minutes max
|
260 minutes
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