Sample Record

Owner Labs

  • Kwik Bond Polymers
  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2020-05-01-13

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214595
DEA: 120R5204
EFIS: 1218000111
DIST-CO-RTE-PM12-ORA-241-16.0/38.8
Award Date02/07/2020
Closeout Date01/18/2022
Work DescriptionMETHACRYLATE DECK SEAL TREATMENT AND JOINT SEAL REPLACEMENT.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM WILDLIFE UNDERCROSSING TO N241/W91 CONNECTOR OVERCROSSING
QA Service Level1 (Verified on 05/12/2020)

Sample Information

Sample Taken Date05/01/2020 Sample Unique Key13
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 testing05/01/2020
Sample typeQuality Control A brief description of the sample2 pints 204,chp,zcure,8020
The quantity of what the sample constitutes25000 gallons 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, Benicia Transportation Laboratory (TL) NumberSacramento Caltrans lab
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)2040390489
Batch number2040390489 Mix number2040390489

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-05-01-13-4CONCLP 4-16: HMWMLarry McCrum, CT HQ - Sacramento Concrete Testing Laboratory05/29/2020Larry McCrum
Yes
05/29/2020Accepted suppliers test results for tack free time

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-05-01-13-4 CONCLP 4-16 (Verified)