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Sample Record for 2019-09-24-32

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Project Information

Project ID: 213582 DEA: 051F7604 EFIS: 0514000051 QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-17-6.0/12.6
Work Description: COLD PLANE AND RESURFACE PAVEMENT, REPLACE RAILINGS AND SIGNS.
Location Description: SANTA CRUZ COUNTY IN AND NEAR SCOTTS VALLEY FROM 0.6 MILE NORTH OF GRANITE CREEK ROAD OVERCROSSING TO SANTA CLARA COUNTY LINE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 714 Comstock Street, Santa Clara, CA 95054
Resident Engineer: Jennifer Wilson Structure Rep.: Ann Meyer

Sample Information

DIME Sample ID: 2019-09-24-32
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: 09/24/2019
Date that the sample was received by the laboratory/organization performing the testing: 09/24/2019
The quantity of what the sample constitutes: 18 totes
A brief description of the sample: 1 gallon can
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers and Reichhold

Material Information

Mfg. Lot Number(s): 1207275
Batch number: 1207275
Mix number: 1207275

Test Results