Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-08-03-41

Project Information

Project IdentifiersProject ID: 212900
DEA: 051G6804
EFIS: 0515000063
DIST-CO-RTE-PM05-SLO-101-16.2-20.3
Award DateNot set
Closeout DateNot set
Work DescriptionUS 101 PISMO CONGESTION RELIEF PROJECT
Location DescriptionIN SAN LUIS OBISPO COUNTY IN PSMO BEACH FROM PISMO OVERHEAD TO 0.5 MILE NORTH OF SHELL BEACH ROAD UC
QA Service Level1 (Verified on 09/30/2019)

Sample Information

Sample Taken Date08/03/2026 Sample Unique Key41
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 testing08/10/2026
Sample typeQuality Assurance A brief description of the samplePlain Bearing Pad
The quantity of what the sample constitutes159 From where was the sample collectedManufacturer
First name of sampler or witnessed byMario Last name of sampler or witnessed byRodriguez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameScougal Rubber 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)27818-1
Material/Compound/Elastomer IDNA Samples Representing159
Description (size)1" x 4" x 6" Comments
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Scougal Rubber
Batch NumberNA

Submitted Tests

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