Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2026-06-09-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001469 DEA: 120K62U4 EFIS: 1224000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA, -5-R25.8/30.3 |
| Award Date | 11/12/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGE, RW, SW, PAVEMENT, DRAINAGE, AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN IRVINE AND TUSTIN FROM YALE AVENUE OVERCROSSING TO ROUTE 5/55 SEPARATION |
| QA Service Level | 1 (Verified on 08/13/2025) |
Sample Information
| Sample Taken Date | 06/09/2026 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/15/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 2.3" x 12" x 24" W/14Ga shims |
| The quantity of what the sample constitutes | 35 | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Mario | Last name of sampler or witnessed by | Rodriguez |
| 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) | 27541-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 35 |
| Description (size) | 2.3" x 12" x 24" | Comments | |
| Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougle Rubber |
| Batch Number | NA |
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. | |||