Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-06-19-33
Project Information
| Project Identifiers | Project ID: 1001640 DEA: 010N2904 EFIS: 0123000202 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-197,199-Var |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE, EXCAVATION, AND RETAINING WALLS. |
| Location Description | DEL NORTE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 09/22/2025) |
Sample Information
| Sample Taken Date | 06/19/2026 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 06/26/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Versiflex Elastomeric Pad |
| The quantity of what the sample constitutes | 14 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Justin | Last name of sampler or witnessed by | Crawford |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brown | 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) | 1090477-1102-2SA |
|---|---|---|---|
| Material/Compound/Elastomer ID | 1090477 1102 2SA | Samples Representing | 14 |
| Description (size) | 18.5" x 15.75" x 1" | Comments | |
| Description (Number of Shims) | NA | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | DS Brown |
| Batch Number | 1090477-1102-2SA |
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. | |||
