Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-06-19-33

Project Information

Project IdentifiersProject ID: 1001640
DEA: 010N2904
EFIS: 0123000202
DIST-CO-RTE-PM01-DN-197,199-Var
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE BRIDGE, EXCAVATION, AND RETAINING WALLS.
Location DescriptionDEL NORTE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/22/2025)

Sample Information

Sample Taken Date06/19/2026 Sample Unique Key33
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 testing06/26/2026
Sample typeQuality Assurance A brief description of the sampleVersiflex Elastomeric Pad
The quantity of what the sample constitutes14 From where was the sample collectedManufacturer
First name of sampler or witnessed byJustin Last name of sampler or witnessed byCrawford
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDS Brown Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)1090477-1102-2SA
Material/Compound/Elastomer ID1090477 1102 2SA Samples Representing14
Description (size)18.5" x 15.75" x 1" Comments
Description (Number of Shims)NA Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)DS Brown
Batch Number1090477-1102-2SA

Submitted Tests

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