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Testing Report for 2020-09-20-1-6

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

Project Information

DEA: 021C7504
EFIS: 0200000080
Project ID: 212304
QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-14.9
Work Description: CONCRETE BRIDGE, RETAINING WALLS, HMA, DRAINAGE AND GUARDRAIL.
Location Description: PLUMAS COUNTY NEAR BELDEN AT YELLOW CREEK BRIDGE 09-0008
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: John Yolton
Structure Rep.: Bryan Keene

Sample Information

DIME Sample ID: 2020-09-20-1
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: 9/20/2020
Date that the sample was received by the laboratory/organization performing the testing: 9/20/2020
The quantity of what the sample constitutes: 25 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 Reichhold

Material Information

Mfg. Lot Number(s): 1272227
Batch number: 1272227
Mix number: 1272227

Test Information

DIME Test ID: 2020-09-20-1-6
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: 10/16/2020
Verified Date: 10/16/2020
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

Curing history for Sample 1: 24hr
Maximum applied load (P) for Sample 1: 1524 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: 762 psi
Curing history for Sample 2: 24hr
Maximum applied load (P) for Sample 2: 1188 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: 594 psi
Curing history for Sample 3: 24hr
Maximum applied load (P) for Sample 3: 1679 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: 840 psi