Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

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)

Sample Information

Sample Taken Date10/14/2025 Sample Unique Key4
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 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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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