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Sample Record for 2023-06-23-6

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

Project Information

Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-23-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Sample Organization Contact: (916) 227-7912
Type of Sample: Quality Assurance
Type of Material: Thermoplastic
Sample Taken Date: 06/23/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/23/2023
The quantity of what the sample constitutes: 13lbs
A brief description of the sample: pth02alkyd
From where was the sample collected: Manufacturer
Laboratory sample identification: C23-0879
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: ennis flint

Material Information

Batch No.: CT230614W0812
Color: White
Thermo Viscosity Grade: Low viscosity
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2023-06-23-6-5
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Daylight Luminous)
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
Data has not been verified.

Test 2 of 4

DIME Test ID: 2023-06-23-6-6
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Viscosity)
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
Data has not been verified.

Test 3 of 4

DIME Test ID: 2023-06-23-6-7
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (White Color)
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
Data has not been verified.

Test 4 of 4

DIME Test ID: 2023-06-23-6-8
Test Method: CTM 423-December 2013: Method for Testing Thermoplastic Traffic Line Material (Hardness)
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
Data has not been verified.