Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2017-03-21-2

Project Information

Project IdentifiersProject ID: 211504
DEA: 060N9904
EFIS: 0612000114
DIST-CO-RTE-PM06-FRE,MAD-41U-33.1/33.4,0.0/0.3
Award Date10/13/2016
Closeout Date10/02/2019
Work DescriptionBRIDGE SCOUR MITIGATION, SEISMIC RETROFIT AND UPGRADE RAIL.
Location DescriptionFRESNO AND MADERA COUNTIES NEAR FRESNO FROM 0.1 MILE NORTH OF PERRIN ROAD UNDERCROSSING TO 0.1 MILE SOUTH OF AVENUE 9 UNDERCROSSING
QA Service Level1 (Verified on 10/05/2016)

Sample Information

Sample Taken Date03/21/2017 Sample Unique Key2
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 testing03/21/2017
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes80 drums 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 TypePolyester Mfg. Lot Number(s)1039800
Batch number1039800 Mix number1039800

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments