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Sample Record for 2017-06-22-4

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

Project Information

Project ID: 208682 DEA: 083401U4 EFIS: 0800000609 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-138,138-6.2/6.4,2.3/R15.2
Work Description: WIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO
Location Description: SAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138
Contractor Name: Flatiron
Contractor Address: 1770 LA COSTA MEADOWS DRIVE, SAN MARCOS CA 92078
Resident Engineer: Elvira Lenart Structure Rep.: Osama Abdalla

Sample Information

DIME Sample ID: 2017-06-22-4
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: 06/22/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2017
The quantity of what the sample constitutes: 2 tankers
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik bond and Reichhold

Material Information

Mfg. Lot Number(s): 1057688
Batch number: 1057688
Mix number: 1057688
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2017-06-22-4-1
Test Method: CONCLP 3-16: Polyester Resin
Verified Date: 10/06/2017
Date Tested: 10/06/2017
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 QC results from supplier press down
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity ASTM D 2196, RVT, No. 1 spindle 75 to 200 cps @ 20 RPM, 77°F 95.5 cps
Specific gravity ASTM D 1475 1.05 to 1.10 @ 77°F 1.06
Conditioning (18/25/50 + 5/70) Elogation ASTM D 638, minimum 35% 54.5 %
Tensile Strength ASTM D 638 Type 1 @ 0.45 in/min, minimum 2500 psi 2642 psi
Styrene ASTM D 2369 40% to 50 % 46 %
PCC - SSD bond strength CTM 551 500 psi minimun @ 24 hours 747 psi
Static Volatile Emissions, SCAQMD 309-91, maximum loss 1.0 grams 0.5 grams