Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2025-07-02-43

Project Information

Project IdentifiersProject ID: 1000279
DEA: 023H70U4
EFIS: 0223000161
DIST-CO-RTE-PM02-TRI-299-15.0/25.7
Award Date08/09/2024
Closeout DateNot set
Work DescriptionRHMA-G, HMA (TYPE A), COLD PLANE AC, & SOLDIER PILE RETAINING WALL.
Location DescriptionTRINITY COUNTY NEAR DEL LOMA FROM 1.0 MILE EAST OF TRINITY RIVER BRIDGE NO.05-0006 TO 0.1 MILE WEST OF PRAIRIE CREEK ROAD
QA Service Level1 (Verified on 04/30/2024)

Sample Information

Sample Taken Date07/02/2025 Sample Unique Key43
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/10/2025
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutesNA From where was the sample collectedManufacturer
First name of sampler or witnessed byNA Last name of sampler or witnessed byNA
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDynamic Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)CR55-012-D
Material/Compound/Elastomer IDNA Samples RepresentingNA
Description (size)1.15" x 12" x 13" Comments
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Dynamic Rubber
Batch NumberNA

Submitted Tests

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