Sample Record
Owner Labs
- Kwik Bond Polymers
- Future Labs, LLC
DIME Sample ID 2025-02-24-16
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Project Information
| Project Identifiers | Project ID: 212861 DEA: 101H2804 EFIS: 1017000190 |
|---|---|
| DIST-CO-RTE-PM | 10-STA-5-10.7/25.5 |
| Award Date | 02/06/2024 |
| Closeout Date | Not set |
| Work Description | BRIDGE DECK OVERLAY WITH POLYESTER CONCRETE, REPLACE APPROACH SLABS & JOINT SEALS IN STANISLAUS COUNTY ON STATE ROUTE 5 FROM FINK ROAD UC TO KHALSA ROAD UC. |
| Location Description | STANISLAUS AND MERCED COUNTIES. |
| QA Service Level | 1 (Verified on 03/23/2020) |
Sample Information
| Sample Taken Date | 02/24/2025 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 02/25/2025 |
| Sample type | Quality Control | A brief description of the sample | 2 pints 204, chp,8020, z-cure |
| The quantity of what the sample constitutes | 100 Totes | From where was the sample collected | Source |
| First name of sampler or witnessed by | Gilberto | Last name of sampler or witnessed by | Gonzalez |
| Title of sampler | Quality Control Manager | Telephone number of sampler | 7076245467 |
| Laboratory sample identification | 000153KBP | Linked DIME Sample ID | 000153KBP |
| The fabricator/manufacturer/facility name | Kwik Bond Polymers, Benicia | Transportation Laboratory (TL) Number | Sacramento Caltrans lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 25-20-291390 |
|---|---|---|---|
| Batch number | 2520291390 | Mix number | 2520291390 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| WSP (SWN) DIME 2025-02-24-16 (5139M) HMWM Test Packet - Signed | 04/30/2025 | Info |
Test File Attachments
DIME Test ID: 2025-02-24-16-1 CONCLP 4-16 (Verified)