Sample Record

Owner Labs

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

DIME Sample ID 2019-05-31-3

Project Information

Project IdentifiersProject ID: 213858
DEA: 120Q9204
EFIS: 1217000127
DIST-CO-RTE-PM12-ORA-57,91-var
Award Date02/20/2019
Closeout Date02/19/2020
Work DescriptionMETHACRYLATE DECK SEAL TREATMENT & POLYESTER CONC. OVERLAY
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 05/03/2019)

Sample Information

Sample Taken Date05/31/2019 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 testing05/31/2019
Sample typeQuality Control A brief description of the sample2 pints 204,chp,zcure,8020
The quantity of what the sample constitutes25000 gallons From where was the sample collectedSource
First name of sampler or witnessed byChris Last name of sampler or witnessed byNunes
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namekwik Bond, Benecia Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)1930989089
Batch number1930989089 Mix number1930989089

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