Sample Record

Owner Labs

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

DIME Sample ID 2020-10-01-9

Project Information

Project IdentifiersProject ID: 214850
DEA: 081K1404
EFIS: 0818000200
DIST-CO-RTE-PM08-RIV-10-R139.0/R155.0
Award Date05/08/2020
Closeout Date11/09/2021
Work DescriptionSTRUCTURE CONCRETE, FURNISH AND PLACE POLYESTER CONCRETE.
Location DescriptionRIVERSIDE COUNTY IN AND NEAR BLYTHE FROM ISORA DITCH TO ROUTE 10/95 SEPARATION
QA Service Level1 (Verified on 08/18/2020)

Sample Information

Sample Taken Date10/01/2020 Sample Unique Key9
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 testing10/01/2020
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 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)1281032
Batch number1281032 Mix number1281032

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