Sample Record
Owner Lab
- Kwik Bond Polymers
DIME Sample ID 2024-03-26-50
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994907 DEA: 120T1204 EFIS: 1222000004 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA,-57-12.3 |
| Award Date | 08/05/2023 |
| Closeout Date | Not set |
| Work Description | DECK SPALL REPAIR AND POLYESTER CONCRETE OVERLAY. |
| Location Description | ORANGE COUNTY IN ANAHEIM AT STADIUM OVERHEAD |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 03/26/2024 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 03/27/2024 |
| Sample type | Quality Control | A brief description of the sample | 1 gallon can / PPC 1121 |
| The quantity of what the sample constitutes | 10 Tankers | 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 | 000050KBP | Linked DIME Sample ID | 000050KBP |
| 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) | AZ4C00366 |
|---|---|---|---|
| Batch number | AZ4C00366 | Mix number | AZ4C00366 |
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. | |||