Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2019-07-01-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214093 DEA: 081J1504 EFIS: 0817000213 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-215-4.2/17.3 |
| Award Date | 05/24/2019 |
| Closeout Date | 05/26/2020 |
| Work Description | TREAT BRIDGE DECK AND PLACE POLYESTER CONCRETE OVERLAY. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR COLTON AND SAN BERNARDINO AT VARIOUS LOCATIONS FROM SANTA ANA RIVER BRIDGE TO DEVORE ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 05/26/2020) |
Sample Information
| Sample Taken Date | 07/01/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 07/01/2019 |
| Sample type | Quality Control | A brief description of the sample | 2 pints 204,chp,zcure,8020 |
| The quantity of what the sample constitutes | 25000 gallons | From where was the sample collected | Source |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Nunes |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | kwik Bond, Benecia | Transportation Laboratory (TL) Number | Sacramento Caltrans lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 1970090189 |
|---|---|---|---|
| Batch number | 1970090189 | Mix number | 1970090189 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||