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Sample Record for 2020-12-11-13

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Project Information

Project ID: 212914 DEA: 031E0604 EFIS: 0312000068 QA Service Level: 1
DIST-CO-RTE-PM: 03-YUB-70-15.5/16.5
Work Description: SIMMERLY SLOUGH BRIDGE REPLACEMENT BR 16-0019 WITH BR 16-0055.
Location Description: NEAR MARYSVILLE, FROM 0.1 MILE NORTH OF BINNEY JUNCTION UNDERPASS TO 0.3 MILE NORTH OF LAURELLEN ROAD, AT SIMMERLY SLOUGH BRIDGE BR 16-0019.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Manoharan Selvendran Structure Rep.: Travis Christie

Sample Information

DIME Sample ID: 2020-12-11-13
TL Number from the TL Form: C631501
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 594-1991
Type of Sample: Quality Assurance
Type of Material: Methacrylate
Sample Taken Date: 12/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/11/2020
The quantity of what the sample constitutes: 1 gallon can
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond

Material Information

Mfg. Lot Number(s): 20-40-390489
Batch number: 2040390489
Mix number: 2040390489

Test Results

Test 1 of 1

DIME Test ID: 2020-12-11-13-1
Test Method: CONCLP 4-16: HMWM
Verified Date: 07/22/2021
Date Tested: 12/24/2020
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: Accepted vendor results for D2369, CTM 551 and tack free time.
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 20.6
Specific gravity (ASTM D 1475) 0.90 min @ 77 deg F 1.10
Volatile content (ASTM D 2369) 30% max 17.8
Flash point (ASTM D 3828) more than 180 deg F 201
PCC - SSD bond strength (CA Test 551) 500 psi minimum @ 24 hours 872
Tack free time, 400 minutes max 340