Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-09-26-60

Project Information

Project IdentifiersProject ID: 1000225
DEA: 023J3204
EFIS: 0222000034
DIST-CO-RTE-PM02-TRI-3,36,299-Var
Award Date06/06/2024
Closeout DateNot set
Work DescriptionBRIDGE POLYESTER CONCRETE OVERLAY & METHACRYLATE DECK SEAL.
Location DescriptionTRINITY COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/08/2024)

Sample Information

Sample Taken Date09/26/2024 Sample Unique Key60
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 testing09/27/2024
Sample typeQuality Control A brief description of the sample1 gallon can / PPC 1121 RESIN
The quantity of what the sample constitutes34 Totes 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 identification000134KBP Linked DIME Sample ID000134KBP
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 TypePolyester Mfg. Lot Number(s)AZ4I01477T
Batch numberAZ4I01477T Mix numberAZ4I01477T

Submitted Tests

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