Print Report | Back to Test Summary

Testing Report for 2021-09-28-1-2

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

Project Information

DEA: 020J9104
EFIS: 0219000174
Project ID: 215704
QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,MOD,SHA-89,139,299-VAR
Work Description: REPAIR UNSOUND CONCRETE, POLYESTER CONCRETE OVERLAYS, JOINT SEALS.
Location Description: LASSEN, MODOC, AND SHASTA COUNTIES AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tofael Anwar
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-09-28-1
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: 9/28/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/28/2021
The quantity of what the sample constitutes: 36 Totes
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): 1361243
Batch number: 1361243
Mix number: 1361243

Test Information

DIME Test ID: 2021-09-28-1-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
Date Tested: 10/15/2021
Verified Date: 10/15/2021
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:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Density Units: pounds/gallons
Liquid Density (pounds per gallon): 8.91