Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2024-03-01-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 03/01/2024 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 03/04/2024 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can / PPC 1121 RESIN |
| The quantity of what the sample constitutes | 80 drums | 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 | 000044KBP | Linked DIME Sample ID | 000044KBP |
| 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 | Polyester | Mfg. Lot Number(s) | AZ4B00264D |
|---|---|---|---|
| Batch number | AZ4B00264D | Mix number | AZ4B00264D |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||