Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-09-24-20
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 215477 DEA: 081K6704 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-210-1.5/21.5 |
| Award Date | 03/24/2021 |
| Closeout Date | 05/26/2022 |
| Work Description | FURNISH AND TREAT BRIDGE DECK AND REPLACE JOINT SEALS. |
| Location Description | SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/02/2021) |
Sample Information
| Sample Taken Date | 09/24/2021 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 09/24/2021 |
| Sample type | Quality Control | A brief description of the sample | 2 pints 204,chp,zcure,8020 |
| The quantity of what the sample constitutes | 25000 gallons | 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 | Technical Director | Telephone number of sampler | 707-330-9227 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik Bond Polymers and Polynt | 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) | 2110890989 |
|---|---|---|---|
| Batch number | 2110890989 | Mix number | 2110890989 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-09-24-20-1 CONCLP 4-16 (Verified)
