Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993154 DEA: 120R3404 EFIS: 1218000079
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-73-12.9/R26.8
Work Description: REPLACE APPROACH SLABS, JOINT SEAL, AND APPLY METHACRYLATE ON BRIDGES.
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS FROM MOULTON PARKWAY UNDERCROSSING IN LAGUNA NIGUEL TO BRISTOL STREET UNDERCROSSING IN COSTA MESA
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 CONSTRUCTION CIR W, IRVINE, CA 92606
Resident Engineer: Nabil J. Ruda Structure Rep.: Ali Jenabzadeh
DIME Sample ID: 2022-02-01-25
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: 02/01/2022
Date that the sample was received by the laboratory/organization performing the testing: 02/01/2022
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
DIME Test ID: 2022-02-01-25-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 03/16/2022
Date Tested: 03/04/2022
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's results.
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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21.6
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Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F
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1.10
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Volatile content (ASTM D 2369) 30% max
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27.5
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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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844.3
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Tack free time, 400 minutes max
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270
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