Sample Record

Owner Labs

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

DIME Sample ID 2023-06-01-50

Project Information

Project IdentifiersProject ID: 994759
DEA: 120T1004
EFIS: 1222000002
DIST-CO-RTE-PM12-ORA-90,91-0.0-18.0
Award Date03/06/2023
Closeout Date01/03/2024
Work DescriptionTreat bridge, overlay with polyester concrete and replace joint seal.
Location DescriptionROUTE 90 AT ESPERANZA ROAD OVERHEAD AND ON ROUTE 91 FROM CARMENITA ROAD PEDESTRIAN OVERCROSSING TO COAL CANYON ROAD UNDERCROSSING
QA Service Level1 (Verified on 04/28/2023)

Sample Information

Sample Taken Date06/01/2023 Sample Unique Key50
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 testing06/02/2023
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 collectedManufacturer
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 identification943803 Linked DIME Sample ID943803
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)23-30-491590
Batch number2330491590 Mix number2330491590

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-06-01-50-1CONCLP 4-16: HMWMRachael Chavez, CT HQ - Sacramento Concrete Testing Laboratory06/15/2023Phillip Montes
Yes
07/14/2023Bond strength and tack free time are based on supplier's results

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-06-01-50-1 CONCLP 4-16 (Verified)