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Sample Record for 2017-08-18-6

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

Project Information

Project ID: 211972 DEA: 120N9404 EFIS: 1215000012 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-1,5,22,55,405-VAR
Work Description: METHACRYLATE DECK SEAL TREATMENT AND JOINT SEAL REPLACEMENT.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16361 Construction Circle West, Irvine, CA 92606
Resident Engineer: Dat Pham Structure Rep.: Parvin Sebti

Sample Information

DIME Sample ID: 2017-08-18-6
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: 08/18/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2017
The quantity of what the sample constitutes: 8 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): 1069935
Batch number: 1069935
Mix number: 1069935
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2017-08-18-6-1
Test Method: CONCLP 3-16: Polyester Resin
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) 594-1991
This test has been superseded on 10/06/2017.
Reason: retested

Test 2 of 2

DIME Test ID: 2017-08-18-6-2
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
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity ASTM D 2196, RVT, No. 1 spindle 75 to 200 cps @ 20 RPM, 77°F 106 cps
Specific gravity ASTM D 1475 1.05 to 1.10 @ 77°F 1.08
Conditioning (18/25/50 + 5/70) Elogation ASTM D 638, minimum 35% 65.6 %
Tensile Strength ASTM D 638 Type 1 @ 0.45 in/min, minimum 2500 psi 2999 psi
Styrene ASTM D 2369 40% to 50 % 45.6 %
PCC - SSD bond strength CTM 551 500 psi minimun @ 24 hours 725 psi
Static Volatile Emissions, SCAQMD 309-91, maximum loss 1.0 grams 0.2 grams