Sample Record for 2026-06-08-22
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001469 DEA: 120K62U4 EFIS: 1224000090
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA, -5-R25.8/30.3
Work Description: CONST BRIDGE, RW, SW, PAVEMENT, DRAINAGE, AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN IRVINE AND TUSTIN FROM YALE AVENUE OVERCROSSING TO ROUTE 5/55 SEPARATION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300, La Mirada, CA 90638
Resident Engineer: Carter Cox Structure Rep.: Younho Rew
Sample Information
DIME Sample ID: 2026-06-08-22
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 06/08/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2026
The quantity of what the sample constitutes: 35
A brief description of the sample: Bearing Pad
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber
Material Information
Mfg. Lot Number(s): 27541-1
Material/Compound/Elastomer ID: NA
Samples Representing: 35
Description (size): 2.30" x 12" x 24"
Comments:
Description (Number of Shims): 4
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Scougal Rubber
Batch Number: NA
Test Results
