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Sample Record for 2019-01-28-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 99999 DEA: 0322222 QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-01-28-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Control
Type of Material: SMTL TM2 - Type B Elastomeric Joint Seal
Sample Taken Date: 01/28/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/27/2019
The quantity of what the sample constitutes: 1
A brief description of the sample: Testing
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Test Only

Material Information

Mfg. Lot Number(s): 123
Manufacturer(s): Watson Bowman
Temperature: 80
Humidity: 1
Comments: Unknown
Joint Seal Size: 2
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2019-01-28-2-1
Test Method: CTM 673-July 2012: Method of Determining Movement Rating of Type B1 and B2 Preformed Elastomeric Joint Seals
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
Data has not been verified.

Test 2 of 2

DIME Test ID: 2019-01-28-2-2
Test Method: CTM 673-July 2012: Method of Determining Movement Rating of Type B1 and B2 Preformed Elastomeric Joint Seals
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
Data has not been verified.