Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2018-11-27-3

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date11/27/2018 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing11/27/2018 Sample typeQuality Control
A brief description of the sample1 gallon can The quantity of what the sample constitutes2 tankers
From where was the sample collectedSource First name of sampler or witnessed byChris
Last name of sampler or witnessed byNunes Title of samplerUnknown
Telephone number of samplerUnknown Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameKwik bond and Reichhold
Transportation Laboratory (TL) NumberSacramento Caltrans lab Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypePolyester Mfg. Lot Number(s)1153949
Batch Number1153949 Mix number1153949

Submitted Tests

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