Sample Record

Owner Labs

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

DIME Sample ID 2017-10-05-2

Project Information

Project IdentifiersProject ID: 210097
DEA: 100L9704
EFIS: 1012000053
DIST-CO-RTE-PM10-TUO-120-R19.5/R20.0
Award Date02/22/2016
Closeout Date10/09/2018
Work DescriptionREPLACE DECK AND RETROFIT BRIDGE.
Location DescriptionIN TUOLUMNE COUNTY ON STATE ROUTE 120 FROM 7.6 MILES EAST OF YOSEMITEJUNCTION TO 4.8 MILES WEST OF THE TOWN OF MOCCASIN AT TUOLUMNE RIVER/DON PEDRO RESERVOIR (JAMES E.
QA Service Level1 (Verified on 12/19/2014)

Sample Information

Sample Taken Date10/05/2017 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 testing10/05/2017
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes8 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)1079026
Batch number1079026 Mix number1079026

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments