Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-07-01-1

Project Information

Project IdentifiersProject ID: 214093
DEA: 081J1504
EFIS: 0817000213
DIST-CO-RTE-PM08-SBD-215-4.2/17.3
Award Date05/24/2019
Closeout Date05/26/2020
Work DescriptionTREAT BRIDGE DECK AND PLACE POLYESTER CONCRETE OVERLAY.
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR COLTON AND SAN BERNARDINO AT VARIOUS LOCATIONS FROM SANTA ANA RIVER BRIDGE TO DEVORE ROAD OVERCROSSING
QA Service Level1 (Verified on 05/26/2020)

Sample Information

Sample Taken Date07/01/2019 Sample Unique Key1
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 testing07/01/2019
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)1970090189
Batch number1970090189 Mix number1970090189

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments