DIME - Test Summary

Summary for Test 2021-09-29-5-2

Test performed: ASTM D1475-Nov13

Project Identifiers	Project ID: 215417 DEA: 101K9304 EFIS: 1020000014
DIST-CO-RTE-PM	10-SJ-VAR,580-VAR
Award Date	04/29/2021
Closeout Date	06/27/2022
Work Description	BRIDGE DECKS INVESTIGATION AND REHABILITATION IN AND NEAR TRACY
Location Description	SJ CTY IN & NEAR TRACY FROM GAFFERY RD TO EAST MIDWAY
QA Service Level	1 (Verified on 01/04/2021)

Sample Taken Date	09/29/2021	Sample Unique Key	5
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	09/29/2021
Sample type	Quality Control	A brief description of the sample	1 gallon can
The quantity of what the sample constitutes	2 tankers	From where was the sample collected	Source
First name of sampler or witnessed by	Daniel	Last name of sampler or witnessed by	Tikusis
Title of sampler	Technical Director	Telephone number of sampler	707-330-9227
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Kwik Bond Polymers and Polynt	Transportation Laboratory (TL) Number	Sacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Polyester	Mfg. Lot Number(s)	1361244
Batch number	1361244	Mix number	1361244

DIME Sample ID: 2021-09-29-5

DIME Test ID: 2021-09-29-5-2

Testing Lab: CT HQ - Sacramento Concrete Testing Laboratory

Test Method: ASTM D1475-Nov13: Standard Test Method For Density of Liquid Coatings, Inks, and Related Products

Test Release Date: 2021-10-15

Density Units: pounds/gallons

Input Type: Calculated

Tester's full name: Mitra Rafiei

Date of test: 10/15/2021

Liquid Density (pounds per gallon): 8.9964

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/15/2021 ✔