Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-04-27-5
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Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 04/27/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 05/03/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Pete | Last name of sampler or witnessed by | Etcheverry |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | C925885 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S3805117 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15538-2, 3, 4, 5, 6, 7, 8, 16 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 4 |
| Description (size) | Various Size | Comments | Unknown |
| Description (Number of Shims) | 4 - 8 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-04-27-5-1 ASTM D2240-05re10 (Verified)
DIME Test ID: 2017-04-27-5-2 ASTM D412-06a-re13 (Verified)
DIME Test ID: 2017-04-27-5-3 ASTM D624-00-re12 (Verified)
DIME Test ID: 2017-04-27-5-4 SMTL BILST-06 (Verified)