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Sample Record for 2018-07-18-14

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 211093 DEA: 101E2704 EFIS: 1015000066 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-99-13.1/R36.7
Work Description: TREAT BRIDGE DECK, REPLACE APPROACH SLABS AND JOINT SEALS.
Location Description: MERCED COUNTY AT VARIOUS LOCATIONS FROM CHILD S AVENUE OVERCROSSING TO GRIFFITH ROAD OVERCROSSING. In District 10 On Route 99
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 1792 KAISER AVENUE, IRVINE, CA 92614
Resident Engineer: Raaid Abouzedan Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-07-18-14
TL Number from the TL Form: Sacramento Caltrans lab
Sample Submitted By Organization: Kwik Bond Polymers
Sample Organization Contact: (760) 518-6064
Type of Sample: Quality Control
Type of Material: Methacrylate
Sample Taken Date: 07/18/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/18/2018
The quantity of what the sample constitutes: 25000 gal
A brief description of the sample: 2 pints 204,chp,zcure,8020
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: kwik Bond, Benecia

Material Information

Mfg. Lot Number(s): 1870789888
Batch number: 1870789888
Mix number: 1870789888

Test Results