Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2026-02-05-24

Project Information

Project IdentifiersProject ID: 1001369
DEA: 010K1504
EFIS: 0120000035
DIST-CO-RTE-PM01-HUM-101-125.2/R126.1
Award DateNot set
Closeout DateNot set
Work DescriptionEARTHWORK, HMA-A, DRAINAGE, AND HIGH FRICTION SURFACE TREATMENT.
Location DescriptionHUMBOLDT COUNTY NEAR ORICK FROM 0.9 MILE SOUTH TO SOUTH PRAIRIE CREEK PARK UNDERCROSSING
QA Service Level1 (Verified on 07/08/2025)

Sample Information

Sample Taken Date02/05/2026 Sample Unique Key24
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 testing02/16/2026
Sample typeQuality Control A brief description of the sample1 gallon can / HFST RESIN
The quantity of what the sample constitutes32 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 sampler925-913-9199
Laboratory sample identification26-002 Linked DIME Sample ID
The fabricator/manufacturer/facility nameKwik Bond Polymers, Benicia Transportation Laboratory (TL) Number198KBP
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)AZ6A00140T
Batch NumberAZ6A00140T Mix NumberAZ6A00140T
Resin Binder TypePolyester Used for OverlayYes
Used for InlayNo

Submitted Tests

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