Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2021-10-28-15
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Project Information
| Project Identifiers | Project ID: 215688 DEA: 074W7604 EFIS: 0719000269 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-57,71,210-Var |
| Award Date | 06/01/2021 |
| Closeout Date | 07/26/2022 |
| Work Description | POLYESTER CONCRETE OVERLAY, APPLY METHCRYLATE & JOINT SEALS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/21/2021) |
Sample Information
| Sample Taken Date | 10/28/2021 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 10/28/2021 |
| Sample type | Quality Control | A brief description of the sample | 2 pints 204, chp, z cure, 8020 |
| The quantity of what the sample constitutes | 25000 gallons | From where was the sample collected | Source |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Tikusis |
| Title of sampler | Telephone number of sampler | 17073309227 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Kwik Bond Polymers, Benicia | Transportation Laboratory (TL) Number | Sacramento Caltrans lab |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Methacrylate | Mfg. Lot Number(s) | 2111990089 |
|---|---|---|---|
| Batch number | 2111990089 | Mix number | 2111990089 |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-28-15-1 CONCLP 4-16 (Verified)