Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2024-07-17-62
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Project Information
| Project Identifiers | Project ID: 995535 DEA: 120T8704 EFIS: 1222000109 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,57-30.3/39.6,10.7/21.8 |
| Award Date | 03/01/2024 |
| Closeout Date | Not set |
| Work Description | APPLY METHACRYLATE, POLYESTER CONCRETE, AND REPLACE JOINT SEALS. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS ON ROUTE 5 FROM ROUTE 5/55 SEPARATION TO EUCLID STREET OVERCROSSING AND ON ROUTE 57 FROM ROUTE 5/57 SEPARATION TO TONNER CANYON ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/26/2024) |
Sample Information
| Sample Taken Date | 07/17/2024 | Sample Unique Key | 62 |
|---|---|---|---|
| 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 | 07/17/2024 |
| Sample type | Quality Control | A brief description of the sample | 2 pints 204,CHP,8020,Z-CURE |
| The quantity of what the sample constitutes | 100 Totes | 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 | 000097KBP | Linked DIME Sample ID | 000097KBP |
| 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 | Methacrylate | Mfg. Lot Number(s) | 24-70-091190 |
|---|---|---|---|
| Batch number | 0 | Mix number | 0 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-07-17-62-1 CONCLP 4-16 (Verified)