DIME - Test Summary

Summary for Test 2021-11-12-2-1

Test performed: ASTM D1475-Nov13

Project Identifiers	Project ID: 215577 DEA: 060Y6904 EFIS: 0619000207
DIST-CO-RTE-PM	06-FRE,TUL-41,99,168,180,198-Var
Award Date	05/19/2021
Closeout Date	10/24/2022
Work Description	FURNISH AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE DECK.
Location Description	FRESNO AND TULARE COUNTIES AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 03/22/2021)

Sample Taken Date	11/12/2021	Sample Unique Key	2
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	11/12/2021
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	17073309227
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)	1369854
Batch number	1369854	Mix number	1369854

DIME Sample ID: 2021-11-12-2

DIME Test ID: 2021-11-12-2-1

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: 2021-11-19

Density Units: pounds/gallons

Input Type: Calculated

Tester's full name: Rachael Chavez

Date of test: 11/18/2021

Liquid Density (pounds per gallon): 9.16

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

Test was verified on 11/19/2021 ✔