Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2018-07-18-14

Project Information

Project IdentifiersProject ID: 211093
DEA: 101E2704
EFIS: 1015000066
DIST-CO-RTE-PM10-MER-99-13.1/R36.7
Award Date03/11/2016
Closeout Date04/14/2021
Work DescriptionTREAT BRIDGE DECK, REPLACE APPROACH SLABS AND JOINT SEALS.
Location DescriptionMERCED COUNTY AT VARIOUS LOCATIONS FROM CHILD S AVENUE OVERCROSSING TO GRIFFITH ROAD OVERCROSSING. In District 10 On Route 99
QA Service Level1 (Verified on 08/22/2016)

Sample Information

Sample Taken Date07/18/2018 Sample Unique Key14
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 testing07/18/2018
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)1870789888
Batch number1870789888 Mix number1870789888

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