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Sample Record for 2018-09-27-11

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

Project Information

Project ID: 213022 DEA: 010G3504 EFIS: 0116000173 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-68.2/R93.0
Work Description: POLYESTER CONCRETE OVERLAY & METHACRYLATE DECK TREATMENT
Location Description: HUMBOLDT COUNTY AT VARIOUS LOCATIONS
Contractor Name: MYERS AND SONS CONSTRUCTION, LP
Contractor Address: Unknown
Resident Engineer: AMAL RASHID Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-09-27-11
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: Polyester
Sample Taken Date: 09/27/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/27/2018
The quantity of what the sample constitutes: 2 tankers
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik bond and Reichhold

Material Information

Mfg. Lot Number(s): 1142862
Batch number: 1142862
Mix number: 1142862

Test Results