Sample Record

DIME Sample ID 2024-09-23-51

Project Information

Project IdentifiersProject ID: 994534
DEA: 010H1604
EFIS: 0117000117
DIST-CO-RTE-PM01-MEN-101-R33.7/R43.2
Award Date05/04/2023
Closeout Date10/26/2026
Work DescriptionREPLACE AC SURFACING, PLACE HMA-A, RHMA-G & CONCRETE BARRIER.
Location DescriptionMENDOCINO COUNTY NEAR WILLITS FROM 1.1 MILES NORTH OF WEST ROAD OVERCROSSING TO 0.6 MILE SOUTH OF HAEHL CREEK BRIDGE
QA Service Level1 (Verified on 04/25/2023)

Owner Lab

  • Kwik Bond Polymers

Sample Information

Sample Taken Date09/23/2024 Sample Unique Key51
Date that the sample was received by the laboratory/organization performing the testing09/24/2024 Sample typeQuality Control
A brief description of the sample1 gallon can / HFST RESIN The quantity of what the sample constitutes2 tankers
From where was the sample collectedSource First name of sampler or witnessed byGilberto
Last name of sampler or witnessed byGonzalez Title of samplerQuality Control Manager
Telephone number of sampler7076245467 Laboratory sample identification000127KBP
Linked DIME Sample ID000127KBP The fabricator/manufacturer/facility nameKwik Bond Polymers, Benicia
Transportation Laboratory (TL) NumberSacramento Caltrans lab Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeHigh Friction Surface Treatment Mgf. Lot Number(s)AZ4I01453
Batch NumberAZ4I01453 Mix NumberAZ4I01453
Resin Binder TypePolyester Used for OverlayYes
Used for InlayNo

Submitted Tests

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