Sample Record

Owner Labs

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

DIME Sample ID 2023-08-18-71

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 994612
DEA: 112N1414
EFIS: 1121000253
DIST-CO-RTE-PM11-SD-15,78-Various
Award Date05/26/2023
Closeout DateNot set
Work DescriptionPLACE METHACRYLATE, POLYESTER CONCRETE, JOINT SEALS AND REPAIR SPALLS.
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/22/2023)

Sample Information

Sample Taken Date08/18/2023 Sample Unique Key71
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 testing08/18/2023
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 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 identification000001 Linked DIME Sample ID000001
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)2390591690
Batch number2390591690 Mix number2390591690

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-08-18-71-1CONCLP 4-16: HMWMRachael Chavez, CT HQ - Sacramento Concrete Testing Laboratory09/28/2023Ryan Tan
Yes
10/02/2023CA551 and tack free time accepted based on vendor's results

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-08-18-71-1 CONCLP 4-16 (Verified)