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Sample Record for 2018-01-18-3

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

Project Information

Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-29.4/31.6
Work Description: REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location Description: LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVENUE, SYLMAR, CA 91342
Resident Engineer: Vladimir Gurfinkel Structure Rep.: Gon Choi

Sample Information

DIME Sample ID: 2018-01-18-3
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: 01/18/2018
Date that the sample was received by the laboratory/organization performing the testing: 01/18/2018
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

Material Information

Mfg. Lot Number(s): 1820589688
Batch number: 1820589688
Mix number: 1820589688
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2018-01-18-3-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 04/19/2018
Date Tested: 02/01/2018
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: HMWM batch#: 18-20-589688 is satisfactory for use ( bond test result accepted suppliers test result).
Test Result Compliance:
Additional Comments When Verified:
Viscosity (ASTM D 2196) Brookfield RVT with UL adapter, 50 RPM @ 77 deg F, 25 max cps @ 77 deg F 21.4
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.14
Volatile content (ASTM D 2369) 30% max 25.7
Flash point (ASTM D 3828) more than 180 deg F 180
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 604
Tack free time, 400 minutes max 330