Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2020-08-11-18

Project Information

Project IdentifiersProject ID: 214799
DEA: 031G4804
EFIS: 0318000240
DIST-CO-RTE-PM03-NEV,PLA,SIE-49,80-VAR
Award Date05/07/2020
Closeout Date09/23/2021
Work DescriptionREPLACE POLYESTER CONCRETE OVERLAY ON BRIDGES.
Location DescriptionNEVADA, PLACER, AND SIERRA COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date08/11/2020 Sample Unique Key18
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 testing08/11/2020
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)1268401
Batch number1268401 Mix number1268401

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