Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-06-01-50
Project Information
Project Identifiers | Project ID: 994759 DEA: 120T1004 EFIS: 1222000002 |
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DIST-CO-RTE-PM | 12-ORA-90,91-0.0-18.0 |
Award Date | 03/06/2023 |
Closeout Date | 01/03/2024 |
Work Description | Treat bridge, overlay with polyester concrete and replace joint seal. |
Location Description | ROUTE 90 AT ESPERANZA ROAD OVERHEAD AND ON ROUTE 91 FROM CARMENITA ROAD PEDESTRIAN OVERCROSSING TO COAL CANYON ROAD UNDERCROSSING |
QA Service Level | 1 (Verified on 04/28/2023) |
Sample Information
Sample Taken Date | 06/01/2023 | Sample Unique Key | 50 |
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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 | 06/02/2023 |
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 | 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 | 17076245467 |
Laboratory sample identification | 943803 | Linked DIME Sample ID | 943803 |
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) | 23-30-491590 |
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Batch number | 2330491590 | Mix number | 2330491590 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-01-50-1 CONCLP 4-16 (Verified)