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Testing Report for 2020-06-22-33-5

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

Project Information

DEA: 120R5404
EFIS: 1218000113
Project ID: 214625
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-1.6/33.1
Work Description: Methacrylate deck seal treatment and polyester concrete overlay
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY AT VARIOUS LOCATIONS FROM EL CAMINO REAL UNDERCROSSING TO MAIN STREET OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Arsalan Naderi
Structure Rep.: Kugan Ramanathan

Sample Information

DIME Sample ID: 2020-06-22-33
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM2 - Type B Elastomeric Joint Seal
Sample Taken Date: 6/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 6/24/2020
The quantity of what the sample constitutes: 550 ft
A brief description of the sample: 3.75 elastomeric joint seal
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Watson Bowman

Material Information

Mfg. Lot Number(s): 2220256
Manufacturer(s): Watson Bowman
Temperature: 72
Humidity: 50
Comments:
Joint Seal Size: 3.75"

Test Information

DIME Test ID: 2020-06-22-33-5
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Date Tested: 7/20/2020
Verified Date: 7/20/2020
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: lisa.dobeck@dot.ca.gov
Organization Phone: (916) 227-7919
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Result: Pass