Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-08-21-15

Project Information

Project IdentifiersProject ID: 214141
DEA: 081J1204
EFIS: 0817000208
DIST-CO-RTE-PM08-RIV-15,91,215-Var
Award Date06/13/2019
Closeout Date02/07/2020
Work DescriptionREMOVE, PREPARE AND FURNISH POLYESTER CONCRETE OVERLAY.
Location DescriptionRIVERSIDE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/23/2019)

Sample Information

Sample Taken Date08/21/2019 Sample Unique Key15
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 testing08/21/2019
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 collectedManufacturer
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)1921190289
Batch number1921190289 Mix number1921190289

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