Sample Record

Owner Labs

  • Kwik Bond Polymers
  • CT HQ - Sacramento Concrete Testing Laboratory
  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2024-09-12-37

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 1000267
DEA: 070W6404
DIST-CO-RTE-PM07-LA-2,134,170-Var
Award Date06/24/2024
Closeout DateNot set
Work DescriptionMETHACRYLATE, POLYESTER OVERLAY, SPILL REPAIR AND JOINT SEALS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/16/2024)

Sample Information

Sample Taken Date09/12/2024 Sample Unique Key37
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 testing09/12/2024
Sample typeQuality Control A brief description of the sample2 pints 204, CHP, 8020
The quantity of what the sample constitutes100 Totes From where was the sample collectedSource
First name of sampler or witnessed byGilberto Last name of sampler or witnessed byGonzalez
Title of samplerQuality Control Manager Telephone number of sampler7076245467
Laboratory sample identification000123KBP Linked DIME Sample ID000123KBP
The fabricator/manufacturer/facility nameKwik Bond Polymers, Benicia Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)24-90-191290
Batch number2490191290 Mix number2490191290

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-09-12-37-1CONCLP 4-16: HMWMRachael Chavez, CT HQ - Sacramento Concrete Testing Laboratory10/03/2024Phillip Montes
Yes
10/04/2024Tack free time accepted using vendor's results.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-09-12-37-1 CONCLP 4-16 (Verified)