Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2025-10-14-4
Project Information
| Project Identifiers | Project ID: 1000245 DEA: 072XN104 EFIS: 0724000222 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-150- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Retaining wall repair due to landslide emergency at Route 150 in Santa Paula. |
| Location Description | Route 150 in Santa Paula. |
| QA Service Level | 1 (Verified on 04/05/2024) |
Sample Information
| Sample Taken Date | 10/14/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 1"x48" plain bearing pad |
| The quantity of what the sample constitutes | 29 Feet | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cal-Neva Supply | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-130-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | BP076536B |
|---|---|---|---|
| Material/Compound/Elastomer ID | 50 Duro Neoprene | Samples Representing | 49ft |
| Description (size) | 1 inch | Comments | |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | NA | Manufacturer(s) | GRT Rubber Technologies |
| Batch Number | 41-1256-72 |
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. | |||
