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Sample Record for 2023-08-17-43

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

Project Information

Project ID: 215666 DEA: 11430564 EFIS: 1119000015 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-67-R6.0/24.4
Work Description: COLD PLANE, RHMA OVERLAY AND HFST, AND INSTALL CHANNELIZERS.
Location Description: SAN DIEGO COUNTY NEAR LAKESIDE AND RAMONA FROM 0.2 MILE NORTH OF SAN DIEGO RIVER BRIDGE TO ROUTE 78
Contractor Name: ATP General Engineering
Contractor Address: 4211 Ponderosa Ave, Suite C, San Diego, CA 92123
Resident Engineer: Victor Mercado Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-17-43
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: High Friction Surface Treatment
Sample Taken Date: 08/17/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2023
The quantity of what the sample constitutes: 1Tanker / 15 Totes
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification: 943825
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia

Material Information

Mgf. Lot Number(s): 1485648
Batch Number: 1485648
Mix Number: 1485648
Resin Binder Type: Polyester
Used for Overlay: Yes
Used for Inlay: No
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-08-17-43-1
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.

Test 2 of 2

DIME Test ID: 2023-08-17-43-2
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.