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Sample Record for 2020-12-11-13

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Project Information

Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-70-15.5/16.5
Work Description: SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location Description: NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Manoharan Selvendran Structure Rep.: Travis Christie

Sample Information

DIME Sample ID: 2020-12-11-13
TL Number from the TL Form: C631501
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 227-7283
Type of Sample: Quality Assurance
Type of Material: Methacrylate
Sample Taken Date: 12/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/11/2020
The quantity of what the sample constitutes: 1 gallon can
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

Material Information

Mfg. Lot Number(s): 20-40-390489
Batch number: 2040390489
Mix number: 2040390489

Test Results

Test 1 of 1

DIME Test ID: 2020-12-11-13-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/22/2021
Date Tested: 12/24/2020
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: larry.mccrum@dot.ca.gov
Organization Phone: (916) 227-7283
General Comments for this Test: Accepted vendor results for D2369, CTM 551 and tack free time.
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 20.6
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.10
Volatile content (ASTM D 2369) 30% max 17.8
Flash point (ASTM D 3828) more than 180 deg F 201
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 872
Tack free time, 400 minutes max 340

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.