Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-10-08-14

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 Date10/08/2019 Sample Unique Key14
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 testing10/08/2019
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes5 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 sampler707-330-9227
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)1208950
Batch number1208950 Mix number1208950

Submitted Tests

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