Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2023-10-10-62
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Project Information
| Project Identifiers | Project ID: 994596 DEA: 081M4904 EFIS: 0821000129 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-6.9/20.0 |
| Award Date | 05/16/2023 |
| Closeout Date | Not set |
| Work Description | POLYESTER CONCRETE OVERLAY AND BRIDGE DECK TREATMENT. |
| Location Description | SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM 0.3 MILE WEST OF ARCHIBALD AVENUE OVERCROSSING TO RIVERSIDE AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 07/10/2023) |
Sample Information
| Sample Taken Date | 10/10/2023 | Sample Unique Key | 62 |
|---|---|---|---|
| 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 | 10/11/2023 |
| 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 | Last name of sampler or witnessed by | GONZALEZ |
| Title of sampler | Quality Control Manager | Telephone number of sampler | 17076245467 |
| Laboratory sample identification | 000024KBP | Linked DIME Sample ID | 000024KBP |
| 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) | 2311791890 |
|---|---|---|---|
| Batch number | 2311791890 | Mix number | 2311791890 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-10-62-1 CONCLP 4-16 (Verified)