Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214625 DEA: 120R5404 EFIS: 1218000113
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-1.6/33.1
Work Description: Methacrylate deck seal treatment and polyester concrete overlay
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY AT VARIOUS LOCATIONS FROM EL CAMINO REAL UNDERCROSSING TO MAIN STREET OVERCROSSING
Contractor Name: VELARDE CONCRETE CONSTRUCTION
Contractor Address: 523 S. BRAND BLVD, SAN FERNANDO CA 91340
Resident Engineer: Arsalan Naderi Structure Rep.: Kugan Ramanathan
DIME Sample ID: 2020-07-15-54
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: 07/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2020
The quantity of what the sample constitutes: 25000 gallons
A brief description of the sample: 2 pints 204,chp,zcure,8020
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
DIME Test ID: 2020-07-15-54-4
Test Method: CONCLP 4-16: HMWM
Verified Date: 10/16/2020
Date Tested: 10/16/2020
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: Bond Strength and Tack Free are suppliers results
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
|
20
|
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
|
1.09
|
Volatile content (ASTM D 2369) 30% max
|
18.45
|
Flash point (ASTM D 3828) more than 180 deg F
|
225
|
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
|
824
|
Tack free time, 400 minutes max
|
325
|