Sample Record

DIME Sample ID 2021-06-15-5

Project Information

Project IdentifiersProject ID: 214795
DEA: 030H3424
EFIS: 0317000153
DIST-CO-RTE-PM03-SAC-99-22.6
Award Date11/13/2020
Closeout Date03/03/2022
Work DescriptionREPLACE BRIDGE DECK WITH PRESTRESSED CONCRETE BOX GIRDER.
Location DescriptionSACRAMENTO COUNTY IN SACRAMENTO AT 21ST AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/12/2020)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date06/15/2021 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the samplePlain Elastomeric Bearing Pad The quantity of what the sample constitutes1 lot
From where was the sample collectedSupplier First name of sampler or witnessed byRyan
Last name of sampler or witnessed byParr Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCal-Neva
Transportation Laboratory (TL) NumberC725807 Inspector Lot Number from the Transportation Laboratory (TL) FormB373-065-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)12821
Material/Compound/Elastomer IDNC 8168 Samples Representing1 Lot
Description (size)0.5x8x12 Comments
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Warco Biltrite
Batch Number1

Submitted Tests

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