Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-06-12-6
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Project Information
| Project Identifiers | Project ID: 211593 DEA: 034F0904 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5,80-17.2,M8.9 |
| Award Date | 09/20/2016 |
| Closeout Date | 08/30/2018 |
| Work Description | REHABILITATE BRIDGE DECKS |
| Location Description | SACRAMENTO COUNTY IN SACRAMENTO ON ROUTE 5 AT FLORIN ROAD OVERCROSSING AND ON ROUTE 80 AT DEL PASO PARK OVERHEAD |
| QA Service Level | 1 (Verified on 10/20/2016) |
Sample Information
| Sample Taken Date | 06/12/2017 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 06/12/2017 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 2 tankers | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Nunes |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Kwik bond and Reichhold | Transportation Laboratory (TL) Number | Sacramento Caltrans lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 1057685 |
|---|---|---|---|
| Batch number | 1057685 | Mix number | 1057685 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-12-6-1 CONCLP 3-16 (Verified)