Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-11-25-25

Project Information

Project IdentifiersProject ID: 213977
DEA: 081J1404
EFIS: 0817000214
DIST-CO-RTE-PM08--,40&58-
Award Date05/01/2019
Closeout Date09/02/2020
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/07/2019)

Sample Information

Sample Taken Date11/25/2019 Sample Unique Key25
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 testing11/25/2019
Sample typeQuality Control A brief description of the sample1 gallon can
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 samplerTechnical Director Telephone number of sampler7073309227
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)1217370
Batch number1217370 Mix number1217370

Submitted Tests

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