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Sample Record for 2023-05-17-3

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

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-05-17-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Assurance
Type of Material: Polyester
Sample Taken Date: 05/17/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/17/2023
The quantity of what the sample constitutes: 1 Quart Can
A brief description of the sample: polyester
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Concrete lab

Material Information

Mfg. Lot Number(s): 123456789
Batch number: 123456789
Mix number: 123456789

Test Results

Test 1 of 6

DIME Test ID: 2023-05-17-3-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
Verified Date: 05/17/2023
Date Tested: 03/20/2023
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:
Additional Comments When Verified:
Viscosity 99

Test 2 of 6

DIME Test ID: 2023-05-17-3-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
Verified Date: 05/17/2023
Date Tested: 05/17/2023
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) 9

Test 3 of 6

DIME Test ID: 2023-05-17-3-3
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
Verified Date: 05/17/2023
Date Tested: 05/17/2023
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:
Number of specimens tested 6
Conditioning procedure 18/25/50+5/70
Speed of testing 0.45 in/min
Sample 1 Width 0.491 in
Sample 1 Ultimate strength 3075.1 psi
Sample 1 Thickness 0.263 in
Sample 1 Area 0.1291 in^2
Sample 1 Ultimate Strength Actual 397 lbs
Sample 1 percent elongation 58.5 %
Sample 1 Time 4 MM:SS
Sample 2 Width 0.492 in
Sample 2 Thickness 0.258 in
Sample 2 Area 0.1269 in^2
Sample 2 Ultimate strength 3129.2 psi
Sample 2 Ultimate Strength Actual 397.1 lbs
Sample 2 percent elongation 527.1 %
Sample 2 Time 4 MM:SS
Sample 3 Width 0.222 in
Sample 3 Thickness 0.111 in
Sample 3 Area 0.0246 in^2
Sample 3 Ultimate strength 13536.6 psi
Sample 3 Ultimate Strength Actual 333 lbs
Sample 3 percent elongation 33 %
Sample 3 Time 1 MM:SS
Sample 4 Width 111 in
Sample 4 Thickness 222 in
Sample 4 Area 24642 in^2
Sample 4 Ultimate strength 0 psi
Sample 4 Ultimate Strength Actual 222 lbs
Sample 4 percent elongation 22 %
Sample 4 Time 1 MM:SS
Sample 5 Width 222 in
Sample 5 Thickness 0.111 in
Sample 5 Area 24.642 in^2
Sample 5 Ultimate strength 13.5 psi
Sample 5 Ultimate Strength Actual 333 lbs
Sample 5 percent elongation 22 %
Sample 5 Time 1 MM:SS
Sample 6 Width 0.333 in
Sample 6 Thickness 0.333 in
Sample 6 Area 0.1109 in^2
Sample 6 Ultimate strength 2001.8 psi
Sample 6 Ultimate Strength Actual 222 lbs
Sample 6 percent elongation 55 %
Sample 6 Time 1 MM:SS
Ultimate Strength Average 3626 psi
Percent Elongation Average 120 %

Test 4 of 6

DIME Test ID: 2023-05-17-3-4
Test Method: ASTM D2369-Jul10: Standard Test Method for Volatile Content of Coatings
Verified Date: 05/17/2023
Date Tested: 05/17/2023
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 46.1

Test 5 of 6

DIME Test ID: 2023-05-17-3-5
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: 05/17/2023
Date Tested: 05/17/2023
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:
Curing history for Sample 1 24hr
Maximum applied load (P) for Sample 1 1256 lb
Span length for Sample 1 9 in
Break location for Sample 1 bond
Specimen defects/notes for Sample 1 no data
Surface type for Sample 1 SSD
Modulus of rupture (R) for Sample 1 628 psi
Curing history for Sample 2 24hr
Maximum applied load (P) for Sample 2 1382 lb
Span length for Sample 2 9 in
Break location for Sample 2 bond
Specimen defects/notes for Sample 2 no data
Surface type for Sample 2 SSD
Modulus of rupture (R) for Sample 2 691 psi
Curing history for Sample 3 24hr
Maximum applied load (P) for Sample 3 1548 lb
Span length for Sample 3 9 in
Break location for Sample 3 bond
Specimen defects/notes for Sample 3 no data
Surface type for Sample 3 SSD
Modulus of rupture (R) for Sample 3 774 psi

Test 6 of 6

DIME Test ID: 2023-05-17-3-6
Test Method: SCAQMD 309-91-Feb93: Determination of Static Volatile Emissions
Verified Date: 05/17/2023
Date Tested: 05/17/2023
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:
Diameter of lid 153 mm
Room Temperature 71.5 f
Tare weight no data
Initial weight 100.42 grams
Weight at 5 minutes 100.36 grams
Weight at 10 minutes 100.3 grams
Weight at 15 minutes 100.24 grams
Weight at 20 minutes 100.17 grams
Weight at 25 minutes 100.11 grams
Weight at 30 minutes 100.05 grams
Final weight 100.05 grams
Total weight loss 0.37 grams
Calculated radius of gallon can lid in cm 7.65 cm
Lid Factor 54.391 m^2
Volatile emission 20.125 grams/m^2