DIME » All Projects » Project - DEA: 070W2704 » Sample 2023-06-19-40 » Sample Details

Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2023-06-19-40

Project Information

Project IdentifiersProject ID: 994395
DEA: 070W2704
EFIS: 0721000223
DIST-CO-RTE-PM07-LA-710-10.5/32.5
Award Date02/15/2023
Closeout DateNot set
Work DescriptionPOLYESTER CONCRETE OVERLAY, APPLY METHACRYLATE & REPLACE JOINT SEALS
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM COMPTON CREEK BRIDGE TO UNION STREET OVERCROSSING
QA Service Level1 (Verified on 02/28/2023)

Sample Information

Sample Taken Date06/19/2023 Sample Unique Key40
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 testing06/20/2023
Sample typeQuality Control A brief description of the sample1 gallon can
The quantity of what the sample constitutes6 tankers 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 identification943809 Linked DIME Sample ID943809
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 TypePolyester Mfg. Lot Number(s)1476244
Batch number1476244 Mix number1476244

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments