Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-05-21-33
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Project Information
| Project Identifiers | Project ID: 215453 DEA: 051M3904 EFIS: 0519000140 |
|---|---|
| DIST-CO-RTE-PM | 05-MON,SBT,SCR-1,9,17,68,101,129,146,156,183,-var |
| Award Date | 03/16/2021 |
| Closeout Date | 12/14/2023 |
| Work Description | TREAT BRIDGE DECKS WITH METHACRYLATE & PLACE POLYESTER CONC OVERLAYS. |
| Location Description | MONTEREY, SAN BENITO AND SANTA CRUZ COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/12/2021) |
Sample Information
| Sample Taken Date | 05/21/2021 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 testing | 05/24/2021 |
| Sample type | Authorization | A brief description of the sample | HMWM |
| The quantity of what the sample constitutes | 1 quart | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Tikusis |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik Bond Polymers, Benicia | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 20-10-290389 |
|---|---|---|---|
| Batch number | 2010290389 | Mix number | 3521 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-21-33-1 CONCLP 4-16 (Verified)