Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2019-12-11-37

Project Information

Project IdentifiersProject ID: 213829
DEA: 074W4604
EFIS: 0718000291
DIST-CO-RTE-PM07-LA-14,405,710-Various
Award Date02/20/2019
Closeout Date08/28/2020
Work DescriptionREPLACE STR APPROACH SLABS AND PLACE DECK POLYESTER CONCRETE OVERLAY.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/30/2019)

Sample Information

Sample Taken Date12/11/2019 Sample Unique Key37
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 testing12/11/2019
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes18 Totes 75 Drums 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 sampler707-330-9227
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)1221248
Batch number1221248 Mix number1221248

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