Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215523 DEA: 120S2004 EFIS: 1219000105
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22,57-R2.7/R11.9,18.8
Work Description: PLACE POLYESTER CONCRETE, REPLACE JOINT SEALS AND TREAT BRIDGE DECK.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS ON ROUTE 22 FROM GARDEN GROVE BOULEVARD UNDERCROSSING TO GLASSELL STREET UNDERCROSSING AND ON ROUTE 57 AT BASTANCHURY ROAD UNDERCROSSING
Contractor Name: AUTOBAHN CONSTRUCTION
Contractor Address: 933 N Batavia St,, Orange, CA 92867
Resident Engineer: Jay Joubeen Structure Rep.: Theodore Pham
DIME Sample ID: 2021-06-18-29
TL Number from the TL Form: C943077
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Control
Type of Material: Methacrylate
Sample Taken Date: 06/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 06/21/2021
The quantity of what the sample constitutes: 25000 gallons
A brief description of the sample: 2 pints 204, chp, z cure, 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: 2021-06-18-29-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/30/2021
Date Tested: 07/15/2021
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: Bond Strength and Tack Free 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
|
20.86
|
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
|
7.58
|
Volatile content (ASTM D 2369) 30% max
|
22.29
|
Flash point (ASTM D 3828) more than 180 deg F
|
190
|
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours
|
816.343
|
Tack free time, 400 minutes max
|
280
|