Sample Record for 2021-06-22-47
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213856 DEA: 112888U4 EFIS: 1118000199
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11,125,905-Various
Work Description: CONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: Skanska USA Civil West CA
Contractor Address: 1995 Agua Mansa Road, Riverside, CA 92509
Resident Engineer: Carlos Covarrubias Structure Rep.: Wade Durant
Sample Information
DIME Sample ID: 2021-06-22-47
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Authorization
Type of Material: Methacrylate
Sample Taken Date: 06/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2021
The quantity of what the sample constitutes: 1 Quart Can
A brief description of the sample: HMWM
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Transpo Industries Inc
Material Information
Mfg. Lot Number(s): B0623217010
Batch number: B0623217010
Mix number: 3529
Test Results
Test 1 of 2
DIME Test ID: 2021-06-22-47-1
Test Method: CONCLP 4-16: HMWM
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) 594-1991
This test has been superseded on 07/28/2021. The corrected test ID is: 2021-06-22-47-2
Reason: retested
Test 2 of 2
DIME Test ID: 2021-06-22-47-2
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/28/2021
Date Tested: 07/21/2021
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:
The test was superseded from test ID: 2021-06-22-47-1
Test Result Compliance: complies
Additional Comments When Verified:
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Viscosity (ASTM D 2196) Brookfield RVT with UL adapter, 50 RPM @ 77 deg F, 25 max cps @ 77 deg F
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23.6
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Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
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1.01
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Volatile content (ASTM D 2369) 30% max
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28
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Flash point (ASTM D 3828) more than 180 deg F
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190
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PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
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690
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Tack free time, 400 minutes max
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392
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