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Sample Record for 2021-11-02-15

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Project Information

Project ID: 215707 DEA: 030J9004 EFIS: 0320000039 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT,PLA,SAC-50,51,80,99-VAR
Work Description: PLACE HMA AND APPLY HIGH FRICTION SURFACE TREATMENT.
Location Description: BUTTE, PLACER, AND SACRAMENTO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court, Benicia, CA 95122
Resident Engineer: Hana Eissa Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-11-02-15
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: 11/02/2021
Date that the sample was received by the laboratory/organization performing the testing: 11/02/2021
The quantity of what the sample constitutes: 2 tankers
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): 1368339
Batch number: 1368339
Mix number: 1368339
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2021-11-02-15-1
Test Method: ASTM D2196-Feb15: Standard Test Methods for Rheological Properties of Non-Newtonian Materials by Rotational Viscometer
Verified Date: 11/15/2021
Date Tested: 11/15/2021
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:
Test Result Compliance: complies
Additional Comments When Verified:
Viscosity 1668

Test 2 of 2

DIME Test ID: 2021-11-02-15-2
Test Method: ASTM D638-Dec14: Standard Test Method for Tensile Properties of Plastics
Verified Date: 11/15/2021
Date Tested: 11/15/2021
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 Based On Supplier Results
Test Result Compliance: complies
Additional Comments When Verified:
Number of specimens tested 5
Conditioning procedure 40/25
Speed of testing 0.45 in/min
Sample 1 Width 0.5 in
Sample 1 Ultimate strength 4195.8 psi
Sample 1 Thickness 0.128 in
Sample 1 Area 0.064 in^2
Sample 1 Ultimate Strength Actual 268.531 lbs
Sample 1 percent elongation 58 %
Sample 1 Time 0 MM:SS
Sample 2 Width 0.5 in
Sample 2 Thickness 0.128 in
Sample 2 Area 0.064 in^2
Sample 2 Ultimate strength 3968.7 psi
Sample 2 Ultimate Strength Actual 253.997 lbs
Sample 2 percent elongation 49.1 %
Sample 2 Time 0 MM:SS
Sample 3 Width 0.5 in
Sample 3 Thickness 0.129 in
Sample 3 Area 0.0645 in^2
Sample 3 Ultimate strength 3886.4 psi
Sample 3 Ultimate Strength Actual 250.67 lbs
Sample 3 percent elongation 37 %
Sample 3 Time 0 MM:SS
Sample 4 Width 0.5 in
Sample 4 Thickness 0.127 in
Sample 4 Area 0.0635 in^2
Sample 4 Ultimate strength 4260.1 psi
Sample 4 Ultimate Strength Actual 270.516 lbs
Sample 4 percent elongation 60.4 %
Sample 4 Time 0 MM:SS
Sample 5 Width 0.5 in
Sample 5 Thickness 0.125 in
Sample 5 Area 0.0625 in^2
Sample 5 Ultimate strength 4188.6 psi
Sample 5 Ultimate Strength Actual 261.79 lbs
Sample 5 percent elongation 59.7 %
Sample 5 Time 0 MM:SS
Ultimate Strength Average 4100 psi
Percent Elongation Average 53 %