Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2019-10-08-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213945 DEA: 060U1604 EFIS: 0615000310 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-41-R22.0/R22.6 |
| Award Date | 04/05/2019 |
| Closeout Date | 10/15/2020 |
| Work Description | FURNISH & PLACE POLYESTER CONCRETE OVERLAY & PLACE JOINT SEAL. |
| Location Description | FRESNO 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 Level | 1 (Verified on 04/11/2019) |
Sample Information
| Sample Taken Date | 10/08/2019 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 testing | 10/08/2019 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 5 tankers | From where was the sample collected | Source |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Tikusis |
| Title of sampler | Technical Director | Telephone number of sampler | 707-330-9227 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik Bond Polymers and Reichhold | Transportation Laboratory (TL) Number | Sacramento Caltrans lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Polyester | Mfg. Lot Number(s) | 1208950 |
|---|---|---|---|
| Batch number | 1208950 | Mix number | 1208950 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||