Sample Record

DIME Sample ID 2025-10-14-4

Project Information

Project IdentifiersProject ID: 1000245
DEA: 072XN104
EFIS: 0724000222
DIST-CO-RTE-PM07-VEN-150-
Award DateNot set
Closeout DateNot set
Work DescriptionRetaining wall repair due to landslide emergency at Route 150 in Santa Paula.
Location DescriptionRoute 150 in Santa Paula.
QA Service Level1 (Verified on 04/05/2024)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date10/14/2025 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample1"x48" plain bearing pad The quantity of what the sample constitutes29 Feet
From where was the sample collectedDistributor First name of sampler or witnessed bySherri
Last name of sampler or witnessed byBrannon Title of samplerQuality Assurance Inspector
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCal-Neva Supply
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB22-130-25
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)BP076536B
Material/Compound/Elastomer ID50 Duro Neoprene Samples Representing49ft
Description (size)1 inch Comments
Description (Number of Shims)0 Type of Bearing PadSteel
Description (Thickness of Shims)NA Manufacturer(s)GRT Rubber Technologies
Batch Number41-1256-72

Submitted Tests

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