DIME - Test Summary

Summary for Test 2021-08-20-14-1

Test performed: ASTM D1475-Nov13

Project Identifiers	Project ID: 215403 DEA: 021H4004 EFIS: 0216000042
DIST-CO-RTE-PM	02-SIS-5-R8.3
Award Date	03/02/2021
Closeout Date	02/28/2022
Work Description	PLACE STRUCTURAL CONCRETE BRIDGE DECK AND BARRIER AND PLACE HMA.
Location Description	SISKIYOU COUNTY NEAR MOUNT SHASTA AT AZALEA ROAD OVERCROSSING
QA Service Level	1 (Verified on 01/07/2021)

Sample Taken Date	08/20/2021	Sample Unique Key	14
Date that the sample was received by the laboratory/organization performing the testing	08/20/2021	Sample type	Quality Control
A brief description of the sample	1 gallon can	The quantity of what the sample constitutes	81 Drums
From where was the sample collected	Source	First name of sampler or witnessed by	Daniel
Last name of sampler or witnessed by	Tikusis	Title of sampler	Technical Director
Telephone number of sampler	707-330-9227	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Kwik Bond Polymers and Polynt
Transportation Laboratory (TL) Number	Sacramento Caltrans lab	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Polyester	Mfg. Lot Number(s)	1353391
Batch Number	1353391	Mix number	1353391

DIME Sample ID: 2021-08-20-14

DIME Test ID: 2021-08-20-14-1

Testing Lab: CT HQ - Sacramento Concrete Testing Laboratory

Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products

Test Release Date: 2021-08-27

Density Units: pounds/gallons

Input Type: Calculated

Tester's full name: Daniel Tikusis

Date of test: 08/12/2021

Liquid Density (pounds per gallon): 9

General comments (publicly viewable) (Max 1000 characters): Accepted supplier's results.

Test was verified on 8/27/2021 ✔