Sample Record

Owner Labs

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

DIME Sample ID 2018-01-18-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout Date07/31/2023
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date01/18/2018 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 testing01/18/2018
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)1820589688
Batch number1820589688 Mix number1820589688

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-01-18-3-1CONCLP 4-16: HMWMBang Nguyen, CT HQ - Sacramento Concrete Testing Laboratory02/01/2018Bang Nguyen
Yes
02/01/2018HMWM batch#: 18-20-589688 is satisfactory for use ( bond test result accepted suppliers test result).

Sample File Attachments

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Test File Attachments


DIME Test ID: 2018-01-18-3-1 CONCLP 4-16 (Verified)