Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-10-31-21
Project Information
| Project Identifiers | Project ID: 1000561 DEA: 010J8904 EFIS: 0119000119 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-3.9/6.0 |
| Award Date | 12/06/2024 |
| Closeout Date | Not set |
| Work Description | HOT MIX ASPHALT, AGGREGATE BASE, AND STRUCTURAL CONCRETE. |
| Location Description | HUMBOLDT COUNTY AT CARLOTTA FROM 0.2 MILE WEST OF FISHER ROAD TO 0.2 MILE WEST OF WILDER ROAD |
| QA Service Level | 1 (Verified on 09/23/2024) |
Sample Information
| Sample Taken Date | 10/31/2025 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 11/03/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Plain Bearing Pad |
| The quantity of what the sample constitutes | 34 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Streeter |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 26963 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 34 |
| Description (size) | .5" x 24" x 44" | Comments | |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | Scougal Rubber |
| Batch Number | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 26-241537.008.ML852882.26963-1 (05x8x12) DIME 2025-10-31-21.Final | 11/07/2025 | Info |
Test File Attachments
DIME Test ID: 2025-10-31-21-1 ASTM D2240-15r21 (Verified)
DIME Test ID: 2025-10-31-21-2 ASTM D412-16r21 (Verified)
DIME Test ID: 2025-10-31-21-3 ASTM D624-00r20 (Verified)
