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Sample Record for 2021-05-21-33

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

Project Information

Project ID: 215453 DEA: 051M3904 EFIS: 0519000140 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON,SBT,SCR-1,9,17,68,101,129,146,156,183,-var
Work Description: TREAT BRIDGE DECKS WITH METHACRYLATE & PLACE POLYESTER CONC OVERLAYS.
Location Description: MONTEREY, SAN BENITO AND SANTA CRUZ COUNTIES AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Farshad Keshavarzi Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-05-21-33
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: 05/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/24/2021
The quantity of what the sample constitutes: 1 quart
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: Kwik Bond Polymers, Benicia

Material Information

Mfg. Lot Number(s): 20-10-290389
Batch number: 2010290389
Mix number: 3521
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2021-05-21-33-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/30/2021
Date Tested: 05/24/2021
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: Accepted Based On Supplier 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 19.08
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 9.08
Volatile content (ASTM D 2369) 30% max 16.8
Flash point (ASTM D 3828) more than 180 deg F 190
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours no data psi
Tack free time, 400 minutes max 210