Sample Record

Owner Labs

  • Kwik Bond Polymers
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2017-04-25-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211949
DEA: 101F2004
EFIS: 1016000097
DIST-CO-RTE-PM10-SJ-12,99-Var
Award Date03/17/2017
Closeout Date04/12/2018
Work DescriptionTREAT BRIDGE DECKS AND REPLACE JOINT SEALS.
Location DescriptionSAN JOAQUIN COUNTY AT VARIOUS LOCATIONS
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date04/25/2017 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 testing04/24/2017
Sample typeQuality Control A brief description of the sample2 Tankers
The quantity of what the sample constitutes1 gallon 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 TypePolyester Mfg. Lot Number(s)1045058
Batch number1045058 Mix number1045058

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-04-25-2-1CONCLP 3-16: Polyester ResinMike MullinsCT HQ - Sacramento Concrete Testing Laboratory05/25/2017Mike Mullins
Yes
05/25/2017