Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2022-06-02-7

Project Information

Project IdentifiersProject ID: 993334
DEA: 051M3704
EFIS: 0519000130
DIST-CO-RTE-PM05-SB-154-23.8/29.2
Award DateNot set
Closeout DateNot set
Work DescriptionCOLD PLANE EXISTING PAVEMENT, PLACE HMA-A AND HFST OVERLAY.
Location DescriptionSANTA BARBARA COUNTY NEAR SANTA BARBARA AT VARIOUS LOCATIONS FROM 0.4 MILE EAST OF STAGECOACH ROAD TO 0.8 MILE WEST OF SAN ANTONIO CREEK ROAD
QA Service Level1 (Verified on 11/16/2021)

Sample Information

Sample Taken Date06/02/2022 Sample Unique Key7
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 testing06/02/2022
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 sampler Telephone number of sampler7076245467
Laboratory sample identification943114 Linked DIME Sample ID943114
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)1408528
Batch number1408528 Mix number1408528

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments