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Sample Record for 2017-12-04-2

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

Project Information

Project ID: 7547 DEA: 103A1004 EFIS: 1000000409 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4,99-R19.5/R20.1,15.0/18.6
Work Description: WIDEN FREEWAY, CONSTRUCT BRIDGES, PUMP PLANTS AND INTERCHANGES.
Location Description: SAN JOAQUIN COUNTY IN AND NEAR STOCKTON ON ROUTE 4 FROM ADELBERT AVENUE TO 0.1 MILE WEST OF GOLDEN GATE AVENUE OVERCROSSING AND ON ROUTE 99 FROM 0.4 MILE NORTH OF ARCH ROAD UNDERCROSSING TO 0.1 MILE SOUTH OF ROUTE 4 WEST/99 NORTH CONNECTOR OVERCROSSING
Contractor Name: Myers and Sons
Contractor Address: 4600 NORTHGATE BLVD, STE 100, SACRAMENTO, CA 95834
Resident Engineer: Troy Scheiber Structure Rep.: Chau Ha

Sample Information

DIME Sample ID: 2017-12-04-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Sample Organization Contact: (916) 227-7912
Type of Sample: Quality Assurance
Type of Material: Thermoplastic
Sample Taken Date: 12/04/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2017
The quantity of what the sample constitutes: 44000 lbs
A brief description of the sample: pth02alkyd
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: mickey mouse

Material Information

Batch No.: 2784y9384
Color: Unknown
Thermo Viscosity Grade: Low viscosity
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2017-12-04-2-1
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Binder Content)
Verified Date: 01/18/2018
Date Tested: 12/04/2017
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Weight of crucible and thermoplastic 21.000 g
Weight of crucible and ash 11.000 g
Weight of crucible 1.000 g
Binder 50.0 %

Test 2 of 6

DIME Test ID: 2017-12-04-2-2
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Daylight Luminous)
Verified Date: 01/18/2018
Date Tested: 12/04/2017
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Daylight luminous reflectance 45

Test 3 of 6

DIME Test ID: 2017-12-04-2-3
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Hardness)
Verified Date: 01/18/2018
Date Tested: 12/04/2017
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Hardness 76

Test 4 of 6

DIME Test ID: 2017-12-04-2-5
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Viscosity)
Verified Date: 01/18/2018
Date Tested: 12/04/2017
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity 25 poise

Test 5 of 6

DIME Test ID: 2017-12-04-2-6
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Yellow Color)
Verified Date: 01/18/2018
Date Tested: 01/18/2018
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Yellow Color 45

Test 6 of 6

DIME Test ID: 2017-12-04-2-7
Test Method: ASTM D36-14ε1: Standard Test Method for Softening Point of Bitumen (Ring-and-Ball Apparatus) (Softening Point)
Verified Date: 01/18/2018
Date Tested: 12/04/2017
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
ASTM Thermometer used? C
Softening Point Sample 1 205 C
Softening Point Sample 2 no data
Bath Liquid freshly boiled distilled water
Minutes Reaction no data