Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2022-09-07-38
Project Information
Project Identifiers | Project ID: 993629 DEA: 112N0874 EFIS: 1119000220 |
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DIST-CO-RTE-PM | 11-SD-5,15,76,78-Var |
Award Date | 05/27/2022 |
Closeout Date | 02/27/2024 |
Work Description | PPLY METHACRYLATE, PLACE POLYESTER CONCRETE OVERLAY Apply Methacrylate on bridge deck |
Location Description | SAN DIEGO COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 03/21/2022) |
Sample Information
Sample Taken Date | 09/07/2022 | Sample Unique Key | 38 |
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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 | 09/07/2022 |
Sample type | Quality Control | A brief description of the sample | 2 pints 204,chp,,8020 |
The quantity of what the sample constitutes | 100 Totes | From where was the sample collected | Source |
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 | 17076245467 |
Laboratory sample identification | 943124 | Linked DIME Sample ID | 943124 |
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) | 22-90-391490 |
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Batch number | 2290391490 | Mix number | 2290391490 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-07-38-1 CONCLP 4-16 (Verified)