Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2019-09-09-4
Project Information
| Project Identifiers | Project ID: 214117 DEA: 031G5804 EFIS: 0319000043 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-80-68.5/69.8,0.0/13.3 |
| Award Date | 06/26/2019 |
| Closeout Date | 03/19/2021 |
| Work Description | FURNISH & PLACE POLYESTER CONCRETE INLAY |
| Location Description | PLACER AND NEVADA COUNTIES IN AND NEAR TRUCKEE FROM TROY UNDERCROSSING TO 0.1 MILE EAST OF DONNER PASS OVERCROSSING |
| QA Service Level | 1 (Verified on 05/15/2019) |
Sample Information
| Sample Taken Date | 09/09/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 09/09/2019 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 2 tankers | From where was the sample collected | Source |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Tikusis |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik Bond Polymers and Reichhold | 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 | Polyester | Mfg. Lot Number(s) | 1203682 |
|---|---|---|---|
| Batch number | 1203682 | Mix number | 1203682 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
