Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-05-13-54

Project Information

Project IdentifiersProject ID: 995175
DEA: 043W7504
EFIS: 0422000032
DIST-CO-RTE-PM04-CC-680-R12.6/24.3
Award Date03/05/2024
Closeout DateNot set
Work DescriptionPOLYESTER CONCRETE OVERLAY.
Location DescriptionCONTRA COSTA COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE SOUTH OF RUDGEAR ROAD UNDERCROSSING TO 0.1 MILE NORTH OF MOCOCO OVERHEAD
QA Service Level1 (Verified on 11/06/2023)

Sample Information

Sample Taken Date05/13/2024 Sample Unique Key54
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 testing05/15/2024
Sample typeQuality Control A brief description of the sample1 gallon can / PPC 1121 RESIN
The quantity of what the sample constitutes36 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 sampler17076245467
Laboratory sample identification000062KBP Linked DIME Sample ID000062KBP
The fabricator/manufacturer/facility nameKwik Bond Polymers, Benicia Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypePolyester Mfg. Lot Number(s)AZ4E00675T
Batch numberAZ4E00675T Mix numberAZ4E00675T

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments