Sample Record

Owner Lab

  • Kwik Bond Polymers

DIME Sample ID 2024-03-27-47

Project Information

Project IdentifiersProject ID: 994639
DEA: 032G5504
EFIS: 0321000238
DIST-CO-RTE-PM03-BUT,COL,GLE-5,32,99,149,162-VAR
Award Date06/13/2023
Closeout DateNot set
Work DescriptionPLACE AND FURNISH POLYESTER CONCRETE AND REPLACE JOINT SEALS.
Location DescriptionBUTTE, COLUSA, AND GLENN COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 05/15/2023)

Sample Information

Sample Taken Date03/27/2024 Sample Unique Key47
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 testing03/28/2024
Sample typeQuality Control A brief description of the sample1 gallon can / PPC 1121
The quantity of what the sample constitutes36 Totes 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 identification000049KBP Linked DIME Sample ID000049KBP
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)AZ4C00365T
Batch numberAZ4C00365T Mix numberAZ4C00365T

Submitted Tests

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

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Test File Attachments