Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-09-03-2

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 Date09/03/2019 Sample Unique Key2
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 testing09/03/2019
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 byDaniel Last name of sampler or witnessed byTikusis
Title of samplerTechnical Director Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKwik Bond Polymers 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)1201998
Batch number1201998 Mix number1201998

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