Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-07-01-9

Project Information

Project IdentifiersProject ID: 213459
DEA: 101E5904
EFIS: 1017000014
DIST-CO-RTE-PM10-SJ,STA,TUO-4,5,99,120,205-Various
Award Date08/24/2018
Closeout Date12/04/2019
Work DescriptionPLACE HIGH FRICTION SURFACE TREATMENT.
Location DescriptionSAN JOAQUIN,STANISLAUS AND TUOLUMNE COUNTIES AT VARIOUS LOCATIONS.
QA Service Level1 (Verified on 12/20/2018)

Sample Information

Sample Taken Date07/01/2019 Sample Unique Key9
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 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 sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKwik bond and Reichhold Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypePolyester Mfg. Lot Number(s)1182230
Batch number1182230 Mix number1182230

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