Sample Record

Owner Labs

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

DIME Sample ID 2020-10-13-11

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214718
DEA: 120R5304
EFIS: 1218000112
DIST-CO-RTE-PM12-ORA-1-0.7/32.4
Award Date04/02/2020
Closeout Date01/18/2022
Work DescriptionPLACE METHACRYLATE, REPAIR SPALLS AND REPLACE CHAIN LINK FENCE.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM DOHENY PARK ROAD UNDERCROSSING TO NAVAL AMMUNITION DEPO OVERHEAD
QA Service Level1 (Verified on 09/29/2020)

Sample Information

Sample Taken Date10/13/2020 Sample Unique Key11
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 testing10/13/2020
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 sampler707-330-9227
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)2011590689
Batch number2011590689 Mix number2011590689

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-13-11-1CONCLP 4-16: HMWMSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory11/04/2020Spencer Adams
Yes
11/04/2020Accepted Viscosity based on suppliers results due to machine being down.