Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
DIME Sample ID: 2018-09-27-1
TL Number from the TL Form: NA
Sample Submitted By Organization: CT HQ - Sacramento Materials Management Branch Field Office
Sample Organization Contact: (562) 500-5861
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 09/27/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/27/2018
The quantity of what the sample constitutes: 600ft
A brief description of the sample: 5in Joint Seal
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: x
Mfg. Lot Number(s): x
Material/Compound/Elastomer ID: x
Samples Representing: x
Description (size): x
Comments: dummy test
Description (Number of Shims): x
Type of Bearing Pad: Plain
Description (Thickness of Shims): NA
Manufacturer(s): x
Batch Number: x
DIME Test ID: 2018-09-27-1-1
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
Data has not been verified.
