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Sample Record for 2023-10-10-62

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

Project Information

Project ID: 994596 DEA: 081M4904 EFIS: 0821000129 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-6.9/20.0
Work Description: POLYESTER CONCRETE OVERLAY AND BRIDGE DECK TREATMENT.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM 0.3 MILE WEST OF ARCHIBALD AVENUE OVERCROSSING TO RIVERSIDE AVENUE OVERCROSSING
Contractor Name: VELARDE CONCRETE CONSTRUCTION INC.
Contractor Address: Unknown
Resident Engineer: Osama Francis Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-10-62
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: 10/10/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/11/2023
The quantity of what the sample constitutes: 100 Totes
A brief description of the sample: 2 pints 204,CHP,8020
From where was the sample collected: Source
Laboratory sample identification: 000024KBP
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers, Benicia

Material Information

Mfg. Lot Number(s): 2311791890
Batch number: 2311791890
Mix number: 2311791890
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-10-10-62-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 11/08/2023
Date Tested: 11/02/2023
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: PCC-SSD Bond Strength CTM 551: 832 psi Tack free time ASTM C679: 350 mins. Both accepted based on vendor's results.
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity (ASTM D 2196) Brookfield RVT with UL adapter, 50 RPM @ 77 deg F, 25 max cps @ 77 deg F 20.5 cps
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 9
Volatile content (ASTM D 2369) 30% max 8.75 %
Flash point (ASTM D 3828) more than 180 deg F 190 F
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 832 psi
Tack free time, 400 minutes max 350 minutes