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Testing Report for 2020-09-23-17-2

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: 2020-09-23-17
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: 9/23/2020
Date that the sample was received by the laboratory/organization performing the testing: 9/23/2020
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 Reichhold

Material Information

Mfg. Lot Number(s): 1278018
Batch number: 1278018
Mix number: 1278018

Test Information

DIME Test ID: 2020-09-23-17-2
Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products
Date Tested: 10/21/2020
Verified Date: 10/21/2020
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

Density Units: pounds/gallons
Liquid Density (pounds per gallon): 9