Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2017-03-06-3

Project Information

Project IdentifiersProject ID: 211669
DEA: 022C0904
EFIS: 0200000161
DIST-CO-RTE-PM02-PLU-70-50.6/51.7
Award Date11/16/2016
Closeout Date11/12/2020
Work DescriptionBRIDGE WIDENING AND DECK REPLACEMENT, HMA, MGS AND CULVERT REPLACEMENT
Location DescriptionPLUMAS COUNTY NEAR QUINCY FROM 0.6 MILE WEST TO 0.5 MILE EAST OF SPRING GARDEN BRIDGE OVERHEAD
QA Service Level1 (Verified on 10/25/2016)

Sample Information

Sample Taken Date03/06/2017 Sample Unique Key3
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 testing03/06/2017
Sample typeQuality Control A brief description of the sample2 qints 204 chp,8020,zcure
The quantity of what the sample constitutes2 pints can From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byNunes
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameKwik bond and Reichhold Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)17-20-189288
Batch number189 Mix number189

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments