Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-09-27-15

Project Information

Project IdentifiersProject ID: 213945
DEA: 060U1604
EFIS: 0615000310
DIST-CO-RTE-PM06-FRE-41-R22.0/R22.6
Award Date04/05/2019
Closeout Date10/15/2020
Work DescriptionFURNISH & PLACE POLYESTER CONCRETE OVERLAY & PLACE JOINT SEAL.
Location DescriptionFRESNO COUNTY IN FRESNO FROM 0.2 MILE NORTH OF ROUTE 41/99 SEPARATION TO 0.1 MILE SOUTH OF VAN NESS AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/11/2019)

Sample Information

Sample Taken Date09/27/2019 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 testing09/27/2019
Sample typeQuality Control A brief description of the samplepolyester resin
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 sampler 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)1206795
Batch number1206795 Mix number1206795

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.