Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-09-27-42

Project Information

Project IdentifiersProject ID: 995485
DEA: 031H1304
EFIS: 0316000059
DIST-CO-RTE-PM03-SAC,SAC-12-0/0.7
Award Date03/29/2024
Closeout DateNot set
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY AND REPLACE BRIDGE RAILING.
Location DescriptionSOLANO AND SACRAMENTO COUNTIES IN AND NEAR RIO VISTA FROM VIRGINIA DRIVE TO ROUTE 160
QA Service Level1 (Verified on 01/17/2024)

Sample Information

Sample Taken Date09/27/2024 Sample Unique Key42
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 testing09/30/2024
Sample typeQuality Control A brief description of the sample1 gallon can / PPC 1121 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 identification000132KBP Linked DIME Sample ID000132KBP
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

Material Information

Material TypePolyester Mfg. Lot Number(s)AZ4I01482
Batch numberAZ4I01482 Mix numberAZ4I01482

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments