Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2022-05-31-4

Project Information

Project IdentifiersProject ID: 993271
DEA: 11430604
EFIS: 1119000026
DIST-CO-RTE-PM11-SD-8,805-5.6/17.4
Award Date11/16/2021
Closeout DateNot set
Work DescriptionINSTALL HIGH FRICTION SURFACE TREATMENT
Location DescriptionFOR CONSTRUCTION ON STATE HIGHWAY IN SAN DIEGO COUNTY IN SAN DIEGO ON ROUTE 8 AT ROUTE 15/8 SEPARATION AND ON ROUTE 805 AT NORTHBOUND 805 TO EASTBOUND 8 CONNECTOR
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date05/31/2022 Sample Unique Key4
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 testing05/31/2022
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 byGilberto Last name of sampler or witnessed byGonzalez
Title of samplerQuality Control Manager Telephone number of sampler7076245467
Laboratory sample identification943113 Linked DIME Sample ID943113
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 TypePolyester Mfg. Lot Number(s)1408521
Batch number1408521 Mix number1408521

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