Sample Record for 2026-09-11-47
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001281 DEA: 11430234 EFIS: 1118000029
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-0.1/14.6
Work Description: REPLACE CONC PVMT, CONSTRUCT AUX LANE & BIKE TRAIL, ELECT, & LANDSCAPE
Location Description: SAN DIEGO COUNTY IN SAN DIEGO, CHULA VISTA AND NATIONAL CITY FROM 0.3 MILE SOUTH OF ROUTE 805/5 SEPARATION TO ROUTE 805/15 SEPARATION
Contractor Name: GRIFFITH COMPANY
Contractor Address: 13400 Sabre Springs, Suite 200 | San Diego, CA 92128, San Diego, CA 92128
Resident Engineer: Jason Alsheikh Structure Rep.: Carlos Guzman
Sample Information
DIME Sample ID: 2026-09-11-47
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: 09/11/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/17/2026
The quantity of what the sample constitutes: 5
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: DS Brown
Material Information
Mfg. Lot Number(s): 1086818-1103
Material/Compound/Elastomer ID: NA
Samples Representing: 5
Description (size): NA
Comments:
Description (Number of Shims): 10
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): DS Brown
Batch Number: NA
Test Results
