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Testing Report for 2021-08-20-14-5

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

Project Information

DEA: 021H4004
EFIS: 0216000042
Project ID: 215403
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-R8.3
Work Description: PLACE STRUCTURAL CONCRETE BRIDGE DECK AND BARRIER AND PLACE HMA.
Location Description: SISKIYOU COUNTY NEAR MOUNT SHASTA AT AZALEA ROAD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Andy O'Sullivan
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-20-14
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: Polyester
Sample Taken Date: 8/20/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/20/2021
The quantity of what the sample constitutes: 81 Drums
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 Polymers and Polynt

Material Information

Mfg. Lot Number(s): 1353391
Batch number: 1353391
Mix number: 1353391

Test Information

DIME Test ID: 2021-08-20-14-5
Test Method: CTM 551-August 2012: Method of Test for Determining Suitability of Materials for Overlayment and Repair of Portland Cement Concrete Pavements and Structures
Date Tested: 8/24/2021
Verified Date: 8/27/2021
Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: larry.mccrum@dot.ca.gov
Organization Phone: (916) 227-7283
General Comments for this Test: Accepted supplier's results.
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Curing history for Sample 1: 24hr
Maximum applied load (P) for Sample 1: 1923.34 lb
Span length for Sample 1: 9 in
Break location for Sample 1: bond
Specimen defects/notes for Sample 1: no data
Surface type for Sample 1: SSD
Modulus of rupture (R) for Sample 1: 961.669 psi
Curing history for Sample 2: 24hr
Maximum applied load (P) for Sample 2: 1717.46 lb
Span length for Sample 2: 9 in
Break location for Sample 2: bond
Specimen defects/notes for Sample 2: no data
Surface type for Sample 2: SSD
Modulus of rupture (R) for Sample 2: 858.732 psi
Curing history for Sample 3: 24hr
Maximum applied load (P) for Sample 3: 1783.76 lb
Span length for Sample 3: 9 in
Break location for Sample 3: bond
Specimen defects/notes for Sample 3: no data
Surface type for Sample 3: SSD
Modulus of rupture (R) for Sample 3: 891.881 psi