Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2026-09-04-26

Project Information

Project IdentifiersProject ID: 1002308
DEA: 052A0604
EFIS: 0526000089
DIST-CO-RTE-PM05-MON-1-55
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 07/27/2026)

Sample Information

Sample Taken Date09/04/2026 Sample Unique Key26
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 testing09/10/2026
Sample typeQuality Assurance A brief description of the sampleElastomeric Bearing Pad 1" x 13.375" x 14.7"
The quantity of what the sample constitutes7 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)28270-1
Material/Compound/Elastomer ID2 527 Samples Representing7
Description (size)1" x 13.375" x 14.7" Comments
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Scougal Rubber
Batch NumberNA

Submitted Tests

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