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Sample Record for 2017-04-25-2

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

Project Information

Project ID: 211949 DEA: 101F2004 EFIS: 1016000097 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-12,99-Var
Work Description: TREAT BRIDGE DECKS AND REPLACE JOINT SEALS.
Location Description: SAN JOAQUIN COUNTY AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court, Benicia, CA, 94510
Resident Engineer: Quan Trinh Structure Rep.: Mohsen Abdelfatah

Sample Information

DIME Sample ID: 2017-04-25-2
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: 04/25/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2017
The quantity of what the sample constitutes: 1 gallon can
A brief description of the sample: 2 Tankers
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik bond and Reichhold

Material Information

Mfg. Lot Number(s): 1045058
Batch number: 1045058
Mix number: 1045058
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2017-04-25-2-1
Test Method: CONCLP 3-16: Polyester Resin
Verified Date: 05/25/2017
Date Tested: 05/25/2017
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 ASTM D 2196, RVT, No. 1 spindle 75 to 200 cps @ 20 RPM, 77°F 106 cps
Specific gravity ASTM D 1475 1.05 to 1.10 @ 77°F 1.08
Conditioning (18/25/50 + 5/70) Elogation ASTM D 638, minimum 35% 61.3 %
Tensile Strength ASTM D 638 Type 1 @ 0.45 in/min, minimum 2500 psi 2804 psi
Styrene ASTM D 2369 40% to 50 % 45.1 %
PCC - SSD bond strength CTM 551 500 psi minimun @ 24 hours 495 psi
Static Volatile Emissions, SCAQMD 309-91, maximum loss 1.0 grams 0.5 grams