Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2017-08-04-3

Project Information

Project IdentifiersProject ID: 211902
DEA: 030G3404
EFIS: 0315000084
DIST-CO-RTE-PM03-NEV-80-R12.3/21.2
Award Date02/16/2017
Closeout Date08/03/2018
Work DescriptionCOLD PLANE AND PLACE POLYESTER CONCRETE INLAY AND HOT MIX ASPHALT
Location DescriptionNEVADA COUNTY IN AND NEAR TRUCKEE FROM 0.3 MILE WEST OF DONNER PARK OVERCROSSING TO TRUCKEE RIVER BRIDGE 17-0012
QA Service Level1 (Verified on 09/15/2017)

Sample Information

Sample Taken Date08/04/2017 Sample Unique Key3
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 testing08/04/2017
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes2 tankers 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)1067004
Batch number1067004 Mix number1067004

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.