Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993481 DEA: 051N3004 EFIS: 0520000162
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-1,154,166-Var
Work Description: TREAT BRIDGE DECKS WITH METHACRYLATE & POLYESTER CONCRETE OVERLAYS.
Location Description: SANTA BARBARA AT VARIOUS LOCATIONS
Contractor Name: VELARDE CONCRETE CONSTRUCTION, INC.
Contractor Address: 523 S BRAND BLVD STE. 201, SAN FERNANDO, CA 91340
Resident Engineer: Thomas Petersen Structure Rep.: Salvador Heredia
DIME Sample ID: 2022-05-25-35
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: 05/25/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/26/2022
The quantity of what the sample constitutes: 10 Tankers
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification: 943112
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia
DIME Test ID: 2022-05-25-35-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
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
Data has not been verified.
DIME Test ID: 2022-05-25-35-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
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
Data has not been verified.
DIME Test ID: 2022-05-25-35-3
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
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
Data has not been verified.
DIME Test ID: 2022-05-25-35-4
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
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
Data has not been verified.
DIME Test ID: 2022-05-25-35-5
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
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
Data has not been verified.
DIME Test ID: 2022-05-25-35-6
Test Method: SCAQMD 309-91-Feb93: Determination of Static Volatile Emissions
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
Data has not been verified.
