Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2019-12-02-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213931 DEA: 081J1304 EFIS: 0817000209 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10,15,210,18,138-VAR |
| Award Date | 04/25/2019 |
| Closeout Date | 09/02/2020 |
| Work Description | Replace joint seal, resurface bridge deck, install bridge mounted sign |
| Location Description | In SB County at various locations |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 12/02/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 12/02/2019 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can |
| The quantity of what the sample constitutes | 36 Totes | 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) | 1217876 |
|---|---|---|---|
| Batch number | 1217876 | Mix number | 1217876 |
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. | |||