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Sample Record for 2020-10-01-9

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

Project Information

Project ID: 214850 DEA: 081K1404 EFIS: 0818000200 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10-R139.0/R155.0
Work Description: STRUCTURE CONCRETE, FURNISH AND PLACE POLYESTER CONCRETE.
Location Description: RIVERSIDE COUNTY IN AND NEAR BLYTHE FROM ISORA DITCH TO ROUTE 10/95 SEPARATION
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W 23rd St, Tempe, AZ 85282
Resident Engineer: Khoi Vu Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-10-01-9
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: 10/01/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/01/2020
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:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Kwik Bond Polymers and Reichhold

Material Information

Mfg. Lot Number(s): 1281032
Batch number: 1281032
Mix number: 1281032

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2020-10-01-9-1CTM 551-August 2012: Method of Test for Determining Suitability of Materials for Overlayment and Repair of Portland Cement Concrete Pavements and Structures10/27/2020Not scheduledSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory