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Sample Record for 2021-10-01-3

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Project Information

Project ID: 215221 DEA: 07332604 EFIS: 0716000287 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-R12.4/14.9
Work Description: REMOVE RAISED ISLAND, CONSTRUCT CONCRETE BARRIER AND INSTALL LIGHTING.
Location Description: THE COUNTY AND CITY OF LOS ANGELES FROM 0.1 MILE EAST OF ARLINGTON AVENUE OVERCROSSING TO 0.7 MILE EAST OF ROUTE 10/110 SEPARATION
Contractor Name: CHUMO CONSTRUCTION INC
Contractor Address: 14425 Joanbridge St, Baldwin Park, CA 91706
Resident Engineer: Gilbert Trujillo Structure Rep.: Bernabe Contreras

Sample Information

DIME Sample ID: 2021-10-01-3
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: Polyester
Sample Taken Date: 10/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2021
The quantity of what the sample constitutes: 34 Totes
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 Polymers and Polynt

Material Information

Mfg. Lot Number(s): 1359376
Batch number: 1359376
Mix number: 1359376
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2021-10-01-3-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
Verified Date: 10/15/2021
Date Tested: 10/15/2021
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:
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity 103.5

Test 2 of 6

DIME Test ID: 2021-10-01-3-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
Verified Date: 10/15/2021
Date Tested: 10/15/2021
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:
Test Result Compliance: complies
Additional Comments When Verified:
Density Units pounds/gallons
Liquid Density (pounds per gallon) 8.9131

Test 3 of 6

DIME Test ID: 2021-10-01-3-3
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
Verified Date: 10/15/2021
Date Tested: 10/15/2021
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: Accepted Based On Supplier Results
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens tested 5
Conditioning procedure 18/25/50+5/70
Speed of testing 0.45 in/min
Sample 1 Width 0.487 in
Sample 1 Ultimate strength 3311.3 psi
Sample 1 Thickness 0.25 in
Sample 1 Area 0.1218 in^2
Sample 1 Ultimate Strength Actual 403.316 lbs
Sample 1 percent elongation 62.24 %
Sample 1 Time no data0 MM:SS
Sample 2 Width 0.487 in
Sample 2 Thickness 0.254 in
Sample 2 Area 0.1237 in^2
Sample 2 Ultimate strength 3354.9 psi
Sample 2 Ultimate Strength Actual 415.001 lbs
Sample 2 percent elongation 63.22 %
Sample 2 Time no data0 MM:SS
Sample 3 Width 0.487 in
Sample 3 Thickness 0.252 in
Sample 3 Area 0.1227 in^2
Sample 3 Ultimate strength 3549.4 psi
Sample 3 Ultimate Strength Actual 435.511 lbs
Sample 3 percent elongation 67.99 %
Sample 3 Time no data0 MM:SS
Sample 4 Width 0.487 in
Sample 4 Thickness 0.249 in
Sample 4 Area 0.1213 in^2
Sample 4 Ultimate strength 3500.4 psi
Sample 4 Ultimate Strength Actual 424.599 lbs
Sample 4 percent elongation 66.01 %
Sample 4 Time no data0 MM:SS
Sample 5 Width 0.487 in
Sample 5 Thickness 0.259 in
Sample 5 Area 0.1261 in^2
Sample 5 Ultimate strength 3497.8 psi
Sample 5 Ultimate Strength Actual 441.073 lbs
Sample 5 percent elongation 66.28 %
Sample 5 Time no data0 MM:SS
Ultimate Strength Average 3443 psi
Percent Elongation Average 65 %

Test 4 of 6

DIME Test ID: 2021-10-01-3-4
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
Verified Date: 10/15/2021
Date Tested: 10/15/2021
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:
Test Result Compliance: complies
Additional Comments When Verified:
Mean of two volatile content determination 45.9

Test 5 of 6

DIME Test ID: 2021-10-01-3-5
Test Method: CTM 551-August 2012: Method of Test for Determining Suitability of Materials for Overlayment and Repair of Portland Cement Concrete Pavements and Structures
Verified Date: 10/15/2021
Date Tested: 10/15/2021
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: Accepted Based On Supplier Results
Test Result Compliance: complies
Additional Comments When Verified:
Curing history for Sample 1 24hr
Maximum applied load (P) for Sample 1 1905.33 lb
Span length for Sample 1 9 in
Break location for Sample 1 PCC
Specimen defects/notes for Sample 1 no data
Surface type for Sample 1 SSD
Modulus of rupture (R) for Sample 1 952.666 psi
Curing history for Sample 2 24hr
Maximum applied load (P) for Sample 2 1672.26 lb
Span length for Sample 2 9 in
Break location for Sample 2 PCC
Specimen defects/notes for Sample 2 no data
Surface type for Sample 2 SSD
Modulus of rupture (R) for Sample 2 836.13 psi
Curing history for Sample 3 24hr
Maximum applied load (P) for Sample 3 1620.76 lb
Span length for Sample 3 9 in
Break location for Sample 3 PCC
Specimen defects/notes for Sample 3 no data
Surface type for Sample 3 SSD
Modulus of rupture (R) for Sample 3 810.379 psi

Test 6 of 6

DIME Test ID: 2021-10-01-3-6
Test Method: SCAQMD 309-91-Feb93: Determination of Static Volatile Emissions
Verified Date: 10/15/2021
Date Tested: 10/15/2021
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: Accepted Based On Supplier Results
Test Result Compliance: complies
Additional Comments When Verified:
Diameter of lid 153.9 mm
Room Temperature 75 f
Tare weight no data0 grams
Initial weight 100 grams
Weight at 5 minutes 99.831 grams
Weight at 10 minutes 99.738 grams
Weight at 15 minutes 99.673 grams
Weight at 20 minutes 99.596 grams
Weight at 25 minutes 99.501 grams
Weight at 30 minutes 99.435 grams
Final weight 99.44 grams
Total weight loss 0.56 grams
Calculated radius of gallon can lid in cm 7.695 cm
Lid Factor 53.757 m^2
Volatile emission 30.104 grams/m^2