Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-02-05-28
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Project Information
| Project Identifiers | Project ID: 215211 DEA: 051K6904 EFIS: 0518000230 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-1,101,154-VAR |
| Award Date | 11/19/2020 |
| Closeout Date | 11/15/2021 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/13/2020) |
Sample Information
| Sample Taken Date | 02/05/2021 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 02/05/2021 |
| Sample type | Quality Control | A brief description of the sample | 1 Quart bottle |
| The quantity of what the sample constitutes | 25000 gallons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Tikusis |
| Title of sampler | Technical Director | Telephone number of sampler | 707-330-9227 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| 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) | 2140690789 |
|---|---|---|---|
| Batch number | 2140690789 | Mix number | 2140690789 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-02-05-28-1 CONCLP 4-16 (Verified)