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Sample Record for 2018-05-29-6

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

Project Information

Project ID: 213079 DEA: 081H2204 EFIS: 0816000182 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV,SBD-10,38,210,215,60and79.-VariousLOCATIONs
Work Description: BRIDGE PREVENTATIVE MAINTENANCE
Location Description: SAN BERNARDINO AND RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVENUE, IRVINE, CA 92614
Resident Engineer: Mahfual Alam Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-05-29-6
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: Methacrylate
Sample Taken Date: 05/29/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/29/2018
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): 1840689788
Batch number: 1840689788
Mix number: 1840689788

Test Results

Test 1 of 1

DIME Test ID: 2018-05-29-6-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/27/2018
Date Tested: 07/27/2018
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: accepted on coc
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 19.26
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.08
Volatile content (ASTM D 2369) 30% max 15
Flash point (ASTM D 3828) more than 180 deg F 275
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 852
Tack free time, 400 minutes max 325