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Sample Record for 2020-12-04-3

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Project Information

Project ID: 215267 DEA: 041W3804 EFIS: 0421000007 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-.4/2.2, 12.82, 14.62
Work Description:
Location Description:
Contractor Name: GHILOTTI BROS., INC.
Contractor Address: 525 JACOBY STREET, SAN RAFAEL, CA 94901
Resident Engineer: Steve Russel Structure Rep.: jose David

Sample Information

DIME Sample ID: 2020-12-04-3
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: Polyester
Sample Taken Date: 12/04/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2020
The quantity of what the sample constitutes: 2 tankers
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers and Polynt

Material Information

Mfg. Lot Number(s): 1294701
Batch number: 1294701
Mix number: 1294701
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-12-04-3-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
Verified Date: 12/24/2020
Date Tested: 12/24/2020
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:
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity 2080

Test 2 of 2

DIME Test ID: 2020-12-04-3-2
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
Verified Date: 12/24/2020
Date Tested: 12/24/2020
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: Accepted vendor results
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens tested 5
Conditioning procedure 18/25/50+5/70
Speed of testing 0.45 in/min
Sample 1 Width 0.5 in
Sample 1 Ultimate strength 3959.5 psi
Sample 1 Thickness 0.135 in
Sample 1 Area 0.0675 in^2
Sample 1 Ultimate Strength Actual 267.264 lbs
Sample 1 percent elongation 44.8 %
Sample 1 Time 0 MM:SS
Sample 2 Width 0.5 in
Sample 2 Thickness 0.128 in
Sample 2 Area 0.064 in^2
Sample 2 Ultimate strength 4126 psi
Sample 2 Ultimate Strength Actual 264.067 lbs
Sample 2 percent elongation 44.7 %
Sample 2 Time 0 MM:SS
Sample 3 Width 0.5 in
Sample 3 Thickness 0.137 in
Sample 3 Area 0.0685 in^2
Sample 3 Ultimate strength 4010.9 psi
Sample 3 Ultimate Strength Actual 274.75 lbs
Sample 3 percent elongation 50.6 %
Sample 3 Time 0 MM:SS
Sample 4 Width 0.5 in
Sample 4 Thickness 0.133 in
Sample 4 Area 0.0665 in^2
Sample 4 Ultimate strength 4000.2 psi
Sample 4 Ultimate Strength Actual 266.011 lbs
Sample 4 percent elongation 40 %
Sample 4 Time 0 MM:SS
Sample 5 Width 0.5 in
Sample 5 Thickness 0.138 in
Sample 5 Area 0.069 in^2
Sample 5 Ultimate strength 4147.7 psi
Sample 5 Ultimate Strength Actual 286.19 lbs
Sample 5 percent elongation 33.7 %
Sample 5 Time 0 MM:SS
Ultimate Strength Average 4049 psi
Percent Elongation Average 43 %