Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2017-06-21-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 208682 DEA: 083401U4 EFIS: 0800000609 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138,138-6.2/6.4,2.3/R15.2 |
| Award Date | 09/10/2014 |
| Closeout Date | 06/23/2021 |
| Work Description | WIDEN TO 4 LNS FR BEEKLEY RD TO JCT 15, ADD 1 LN EB FR PHELAN RD TO |
| Location Description | SAN BERNARDINO COUNTY ON ROUTE 138 NEAR PHELAN FROM 0.6 MILE WEST OF PHELAN ROAD TO THE JUNCTION OF ROUTE 15 AND ON ROUTE 2 FROM 0.1 MILE NORTH OF WILD HORSE CANYON ROAD TO ROUTE 138 |
| QA Service Level | 1 (Verified on 03/11/2013) |
Sample Information
| Sample Taken Date | 06/21/2017 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 06/21/2017 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 4 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) | 1039779 |
|---|---|---|---|
| Batch number | 1039779 | Mix number | 1039779 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-06-21-10-1 CONCLP 3-16 (Verified)