Sample Record for 2026-06-22-74
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Project Information
Project ID: 1001194 DEA: 051H4404 EFIS: 0516000074
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB,SLO-1-50.3/50.6,0.0/0.3
Work Description: SANTA MARIA RIVER BRIDGE (REPLACE).
Location Description: SANTA BARBARA AND SAN LUIS OBISPO COUNTIES IN AND NEAR GUADALUPE AT SANTA MARIA RIVER BRIDGE
Contractor Name: M.C.M. CONSTRUCTION, INC.
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Jacob Cooper Structure Rep.: Sal Heredia
Sample Information
DIME Sample ID: 2026-06-22-74
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: 06/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/07/2026
The quantity of what the sample constitutes: 180
A brief description of the sample: Bearing Pad w/4 14ga shims
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber
Material Information
Mfg. Lot Number(s): 27989-1
Material/Compound/Elastomer ID: NA
Samples Representing: 180
Description (size): 2.3" X 12" X 20"
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
