Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2016-10-10-1

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 Date10/10/2016 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleChloroprene bridge pad The quantity of what the sample constitutes529 Sq. ft
From where was the sample collectedFabricator First name of sampler or witnessed byStacey
Last name of sampler or witnessed byDavis Title of samplerQuality Assurance Inspector
Telephone number of sampler562 480-6984 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) FormB362-056-16
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)9-22-16-1
Material/Compound/Elastomer IDNC8168 Samples Representing1 Lot
Description (size)12" x 12" CommentsSample from tag number 2196778
Description (Number of Shims)See notes below Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Warco Biltrite
Batch Number9-22-16-1

Submitted Tests

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