Sample Record

Owner Labs

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

DIME Sample ID 2017-06-14-10

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211948
DEA: 073W2204
EFIS: 0716000011
DIST-CO-RTE-PM07-LA-210-R0.0/R15.8
Award Date02/15/2017
Closeout Date08/28/2019
Work DescriptionREPLACE BRIDGE APPROACH SLABS AND REHABILITATE DECKS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AND GLENDALE FROM NORTH CONNECTOR OVERCROSSING TO HONOLULU AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/20/2017)

Sample Information

Sample Taken Date06/14/2017 Sample Unique Key10
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 testing06/14/2017
Sample typeQuality Control A brief description of the sample2 pints 204,chp,zcure,8020
The quantity of what the sample constitutes25000 gal 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, Benecia 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)17-30-289388
Batch number289388 Mix number289388

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-06-14-10-1CONCLP 4-16: HMWMMike MullinsCT HQ - Sacramento Concrete Testing Laboratory07/10/2017Mike Mullins
Yes
07/10/2017accepted bond on suppliers Q.C. results

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2017-06-14-10-1 CONCLP 4-16 (Verified)