Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2022-09-07-13

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date09/07/2022 Sample Unique Key13
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeStock
A brief description of the sample1/2" x 12" x 12" Neoprene bearing pad The quantity of what the sample constitutes180 lf
From where was the sample collectedSupplier First name of sampler or witnessed byGreg
Last name of sampler or witnessed byThompson Title of samplerAssociate Steel Inspector
Telephone number of sampler(510) 376-7155 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWarco/Biltrite/CalNeva
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB9-143-22
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)092721
Material/Compound/Elastomer IDNC8168 Samples Representing720 sq ft 6 rolls
Description (size).5 Comments
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Warco Biltrite
Batch NumberNC8168

Submitted Tests

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