Sample Record

DIME Sample ID 2022-08-12-9

Project Information

Project IdentifiersProject ID: 993779
DEA: 051K7204
EFIS: 0519000001
DIST-CO-RTE-PM05-SLO-41-3.1
Award Date06/30/2022
Closeout Date11/25/2024
Work DescriptionCONSTRUCT SOLDIER PILE RETAINING WALL.
Location DescriptionSAN LUIS OBISPO COUNTY NEAR MORRO BAY AT 3.1 MILES NORTH OF ROUTE 1/41 SEPARATION
QA Service Level1 (Verified on 05/02/2022)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date08/12/2022 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample1"x12"x12" plain neoprene solid pad The quantity of what the sample constitutes18 pads
From where was the sample collectedDistributor First name of sampler or witnessed byGreg
Last name of sampler or witnessed byThompson Title of samplerAssoc Steel Inspector
Telephone number of sampler510-376-7155 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCal-Neva
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB9-120-22
Structure unique identifier Structure nameretaing wall
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)BP065236D
Material/Compound/Elastomer IDNeoprene Pad 55 Samples Representing18 pads
Description (size)1x12x12 Comments
Description (Number of Shims)none Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)GRT
Batch NumberBP065236D

Submitted Tests

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