Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2024-06-27-40
Project Information
Project Identifiers | Project ID: 994534 DEA: 010H1604 EFIS: 0117000117 |
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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 |
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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 |
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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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |