Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2018-09-27-11

Project Information

Project IdentifiersProject ID: 213022
DEA: 010G3504
EFIS: 0116000173
DIST-CO-RTE-PM01-HUM-101-68.2/R93.0
Award Date03/06/2018
Closeout Date11/27/2018
Work DescriptionPOLYESTER CONCRETE OVERLAY & METHACRYLATE DECK TREATMENT
Location DescriptionHUMBOLDT COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date09/27/2018 Sample Unique Key11
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 testing09/27/2018
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)1142862
Batch number1142862 Mix number1142862

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