Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-03-12-35

Project Information

Project IdentifiersProject ID: 7285
DEA: 040120T4
EFIS: 0400000027
DIST-CO-RTE-PM04-SF-80-12.6/13.9
Award Date11/27/2012
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE, ROADWAYS, ELECTRICAL, BUILDINGS AND REMOVE BRIDGES
Location DescriptionTHE CITY AND COUNTY OF SAN FRANCISCO FROM THE YERBA BUENA TUNNEL TO 1.3 KM EAST OF THE YERBA BUENA TUNNEL
QA Service Level1 (Verified on 10/29/2012)

Sample Information

Sample Taken Date03/12/2024 Sample Unique Key35
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 testing03/13/2024
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 identification000046KBP Linked DIME Sample ID000046KBP
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)AZ4B00288
Batch numberAZ4B00288 Mix numberAZ4B00288

Submitted Tests

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