Sample Record

Owner Labs

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

DIME Sample ID 2022-07-07-26

Project Information

Project IdentifiersProject ID: 215584
DEA: 074W7804
EFIS: 0719000277
DIST-CO-RTE-PM07-LA-110-6.8/19.5
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE JOINT SEALS, APPLY METHACRYLATE ON DECKS AND SPALL REPAIR.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM 220TH STREET ON-RAMP TO 0.1 MILE SOUTH OF MARTIN LUTHER KING JR BOULEVARD
QA Service Level1 (Verified on 08/17/2021)

Sample Information

Sample Taken Date07/07/2022 Sample Unique Key26
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 testing07/12/2022
Sample typeQuality Control A brief description of the sample2 pints 204,chp,,8020
The quantity of what the sample constitutes25000 gallons From where was the sample collectedManufacturer
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 identification943117 Linked DIME Sample ID943117
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 TypeMethacrylate Mfg. Lot Number(s)22-70-291390
Batch number2270291390 Mix number2270291390

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-07-07-26-1CONCLP 4-16: HMWMRachael ChavezCT HQ - Sacramento Concrete Testing Laboratory08/23/2022Phillip Montes
Yes
08/26/2022PCC - SSD bond strength (CA Test 551) and Tack free time accepted based on supplier's results.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-07-07-26-1 CONCLP 4-16 (Verified)