Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-11-08-10

Project Information

Project IdentifiersProject ID: 211783
DEA: 07307204
EFIS: 0714000216
DIST-CO-RTE-PM07-LA-91,105,110,and405-Varies
Award Date11/16/2016
Closeout Date04/08/2020
Work DescriptionPLACE HIGH FRICTION SURFACE TREATMENT.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 12/30/2016)

Sample Information

Sample Taken Date11/08/2019 Sample Unique Key10
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 testing11/08/2019
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes2 tankers 12 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)1212063
Batch number1212063 Mix number1212063

Submitted Tests

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