DIME » All Projects » Project - DEA: 120T1204 » Sample 2024-03-13-34 » Sample Details

Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-03-13-34

Project Information

Project IdentifiersProject ID: 994907
DEA: 120T1204
EFIS: 1222000004
DIST-CO-RTE-PM12-ORA,-57-12.3
Award Date08/05/2023
Closeout DateNot set
Work DescriptionDECK SPALL REPAIR AND POLYESTER CONCRETE OVERLAY.
Location DescriptionORANGE COUNTY IN ANAHEIM AT STADIUM OVERHEAD
QA Service Level1 (Verified on 07/07/2023)

Sample Information

Sample Taken Date03/13/2024 Sample Unique Key34
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 testing03/14/2024
Sample typeQuality Control A brief description of the sample1 gallon can / PPC 1121 RESIN
The quantity of what the sample constitutes2 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 identification000045KBP Linked DIME Sample ID000045KBP
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)AZ4C00318
Batch numberAZ4C00318 Mix numberAZ4C00318

Submitted Tests

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