Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-07-07-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215584 DEA: 074W7804 EFIS: 0719000277 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110-6.8/19.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE JOINT SEALS, APPLY METHACRYLATE ON DECKS AND SPALL REPAIR. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 220TH STREET ON-RAMP TO 0.1 MILE SOUTH OF MARTIN LUTHER KING JR BOULEVARD |
| QA Service Level | 1 (Verified on 08/17/2021) |
Sample Information
| Sample Taken Date | 07/07/2022 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 07/12/2022 |
| Sample type | Quality Control | A brief description of the sample | 2 pints 204,chp,,8020 |
| The quantity of what the sample constitutes | 25000 gallons | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gilberto | Last name of sampler or witnessed by | Gonzalez |
| Title of sampler | Quality Control Manager | Telephone number of sampler | 7076245467 |
| Laboratory sample identification | 943117 | Linked DIME Sample ID | 943117 |
| 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) | 22-70-291390 |
|---|---|---|---|
| Batch number | 2270291390 | Mix number | 2270291390 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-07-07-26-1 CONCLP 4-16 (Verified)