Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-09-24-32

Project Information

Project IdentifiersProject ID: 213582
DEA: 051F7604
EFIS: 0514000051
DIST-CO-RTE-PM05-SCR-17-6.0/12.6
Award Date11/29/2018
Closeout Date08/23/2021
Work DescriptionCOLD PLANE AND RESURFACE PAVEMENT, REPLACE RAILINGS AND SIGNS.
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR SCOTTS VALLEY FROM 0.6 MILE NORTH OF GRANITE CREEK ROAD OVERCROSSING TO SANTA CLARA COUNTY LINE
QA Service Level1 (Verified on 01/28/2019)

Sample Information

Sample Taken Date09/24/2019 Sample Unique Key32
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 testing09/24/2019
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes18 totes 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)1207275
Batch number1207275 Mix number1207275

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