Sample Record
Owner Labs
- Kwik Bond Polymers
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2023-09-26-51
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Project Information
| Project Identifiers | Project ID: 994685 DEA: 043Q6104 EFIS: 0419000229 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-17,85,87,101-Var |
| Award Date | 06/15/2023 |
| Closeout Date | Not set |
| Work Description | POLYESTER CONCRETE OVERLAY, AND STRUCTURAL CONCRETE APPROACH SLAB. |
| Location Description | SANTA CLARA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/09/2023) |
Sample Information
| Sample Taken Date | 09/26/2023 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 09/27/2023 |
| 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 | Source |
| First name of sampler or witnessed by | Gilberto V | Last name of sampler or witnessed by | GONZALEZ |
| Title of sampler | Quality Control Manager | Telephone number of sampler | 17076245467 |
| Laboratory sample identification | 000018KBP | Linked DIME Sample ID | 000018KBP |
| 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) | 2390691790 |
|---|---|---|---|
| Batch number | 2390691790 | Mix number | 2390691790 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-26-51-1 CONCLP 4-16 (Verified)