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Sample Record for 2021-09-24-20

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

Project Information

Project ID: 215477 DEA: 081K6704 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-210-1.5/21.5
Work Description: FURNISH AND TREAT BRIDGE DECK AND REPLACE JOINT SEALS.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-24-20
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: Methacrylate
Sample Taken Date: 09/24/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2021
The quantity of what the sample constitutes: 25000 gallons
A brief description of the sample: 2 pints 204,chp,zcure,8020
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): 2110890989
Batch number: 2110890989
Mix number: 2110890989
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2021-09-24-20-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 10/08/2021
Date Tested: 10/08/2021
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: PCC-SSD Bond Strength 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 21.25
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.07
Volatile content (ASTM D 2369) 30% max 29.4
Flash point (ASTM D 3828) more than 180 deg F 190
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 862
Tack free time, 400 minutes max 276