Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2020-07-06-34

Project Information

Project IdentifiersProject ID: 214352
DEA: 07332704
EFIS: 0716000290
DIST-CO-RTE-PM07-LA-5-18.3
Award Date11/27/2019
Closeout DateNot set
Work DescriptionAPPLY HIGH FRICTION SURFACE TREATMENT, LANDSCAPE, & IRRIGATION WORK.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES ON ROUTE 5
QA Service Level1 (Verified on 06/15/2020)

Sample Information

Sample Taken Date07/06/2020 Sample Unique Key34
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 testing07/06/2020
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes34 Totes 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)1260447
Batch number1260447 Mix number1260447

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments