Sample Record

DIME Sample ID 2017-05-09-4

Project Information

Project IdentifiersProject ID: 211588
DEA: 030F3104
EFIS: 0300000078
DIST-CO-RTE-PM03-ED-49-23.6/24.5
Award Date12/12/2016
Closeout Date01/08/2019
Work DescriptionREPLACE BRIDGE.
Location DescriptionEL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD
QA Service Level1 (Verified on 10/19/2016)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date05/09/2017 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the sample3.45x12x12 The quantity of what the sample constitutes7
From where was the sample collectedSource First name of sampler or witnessed byKevin
Last name of sampler or witnessed byMuser Title of sampler
Telephone number of sampler9165170532 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameScpugal Rubber
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS19-136-17
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15771-1
Material/Compound/Elastomer IDCP2527VCP2628ARS Samples Representing7
Description (size)3.45x12x12 Comments
Description (Number of Shims)6 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Number0

Submitted Tests

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