Sample Record

Owner Labs

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

DIME Sample ID 2022-02-01-25

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993154
DEA: 120R3404
EFIS: 1218000079
DIST-CO-RTE-PM12-ORA-73-12.9/R26.8
Award Date09/16/2021
Closeout DateNot set
Work DescriptionREPLACE APPROACH SLABS, JOINT SEAL, AND APPLY METHACRYLATE ON BRIDGES.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM MOULTON PARKWAY UNDERCROSSING IN LAGUNA NIGUEL TO BRISTOL STREET UNDERCROSSING IN COSTA MESA
QA Service Level1 (Verified on 08/02/2021)

Sample Information

Sample Taken Date02/01/2022 Sample Unique Key25
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 testing02/01/2022
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 sampler17073309227
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKwik Bond Polymers 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)2210091190
Batch number2210091190 Mix number2210091190

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-02-01-25-1CONCLP 4-16: HMWMSpencer AdamsCT HQ - Sacramento Concrete Testing Laboratory03/04/2022Phillip Montes
Yes
03/16/2022Bond strength and Tack free accepted based on supplier's results.

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-02-01-25-1 CONCLP 4-16 (Verified)