Sample Record
DIME Sample ID 2017-05-09-2
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Project Information
| Project Identifiers | Project ID: 212117 DEA: 044K4304 EFIS: 0417000309 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-128-1.3, 1.30 |
| Award Date | 02/09/2017 |
| Closeout Date | 12/20/2017 |
| Work Description | IN SONOMA COUNTY, ON ROUTE 128, EAST OF CLOVERDALE. REPAIR SLIPOUT BY CONSTRUCTING SOLDIER PILE TIE-BACK WALL |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 03/16/2017) |
Owner Lab
- CT HQ - QASI Sacramento Field Office
Sample Information
| Sample Taken Date | 05/09/2017 | Sample Unique Key | 2 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | Not set | Sample type | Department Acceptance |
| A brief description of the sample | 1.15x8x12 elastomeric bearing | The quantity of what the sample constitutes | 16 |
| From where was the sample collected | Source | First name of sampler or witnessed by | Kevin |
| Last name of sampler or witnessed by | Muser | Title of sampler | QA |
| Telephone number of sampler | 9165170532 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Scougal Rubber | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-135-17 | |
| 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) | 15768-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | CP2527VCP2628ARS | Samples Representing | 16 pads |
| Description (size) | 1.15x8x12 | Comments | |
| Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | 0 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||