Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2024-06-27-40
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994534 DEA: 010H1604 EFIS: 0117000117 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-101-R33.7/R43.2 |
| Award Date | 05/04/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE AC SURFACING, PLACE HMA-A, RHMA-G & CONCRETE BARRIER. |
| Location Description | MENDOCINO COUNTY NEAR WILLITS FROM 1.1 MILES NORTH OF WEST ROAD OVERCROSSING TO 0.6 MILE SOUTH OF HAEHL CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/25/2023) |
Sample Information
| Sample Taken Date | 06/27/2024 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 06/28/2024 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can / HFST RESIN |
| The quantity of what the sample constitutes | 2 tankers | From where was the sample collected | Source |
| First name of sampler or witnessed by | Gilberto | Last name of sampler or witnessed by | Gonzalez |
| Title of sampler | Quality Control Manager | Telephone number of sampler | 7076245467 |
| Laboratory sample identification | 000083KBP | Linked DIME Sample ID | 000083KBP |
| 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 |
Material Information
| Material Type | High Friction Surface Treatment | Mgf. Lot Number(s) | AZ4F00945 |
|---|---|---|---|
| Batch Number | AZ4F00945 | Mix Number | AZ4F00945 |
| Resin Binder Type | Polyester | Used for Overlay | Yes |
| Used for Inlay | No |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||