Sample Record

Owner Labs

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

DIME Sample ID 2022-09-07-38

Project Information

Project IdentifiersProject ID: 993629
DEA: 112N0874
EFIS: 1119000220
DIST-CO-RTE-PM11-SD-5,15,76,78-Var
Award Date05/27/2022
Closeout Date02/27/2024
Work DescriptionPPLY METHACRYLATE, PLACE POLYESTER CONCRETE OVERLAY Apply Methacrylate on bridge deck
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 03/21/2022)

Sample Information

Sample Taken Date09/07/2022 Sample Unique Key38
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 testing09/07/2022
Sample typeQuality Control A brief description of the sample2 pints 204,chp,,8020
The quantity of what the sample constitutes100 Totes 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 sampler17076245467
Laboratory sample identification943124 Linked DIME Sample ID943124
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)22-90-391490
Batch number2290391490 Mix number2290391490

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-09-07-38-1CONCLP 4-16: HMWMSpencer Adams, CT HQ - Sacramento Concrete Testing Laboratory05/03/2023Spencer Adams
Yes
05/03/2023Accepted Suppliers Bond and Tack Free Time.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-09-07-38-1 CONCLP 4-16 (Verified)