Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2017-02-17-2

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 211690
DEA: 042A3204
EFIS: 0400000817
DIST-CO-RTE-PM04-NAP-121-9.2/9.4
Award Date12/01/2016
Closeout Date01/23/2019
Work DescriptionROADWAY WIDENING, BRIDGE REPLACEMENT, CREEK GRADING
Location DescriptionNAPA COUNTY IN NAPA AT SILVERADO TRAIL ROAD
QA Service Level1 (Verified on 01/03/2017)

Sample Information

Sample Taken Date02/17/2017 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing02/22/2017
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byKayla Last name of sampler or witnessed byWallace
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameDynamic Rubber Transportation Laboratory (TL) NumberNA
Inspector Lot Number from the Transportation Laboratory (TL) FormNA Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)CR55-001-17
Material/Compound/Elastomer IDNA Samples Representing23
Description (size)2.3" x 8" x 8" CommentsUnknown
Description (Number of Shims)4 Type of Bearing PadPlain
Description (Thickness of Shims)14 gage Manufacturer(s)Dynamic Rubber
Batch NumberNA

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2017-02-17-2-1ASTM D4014-03re12: Standard Specification for Plain and Steel-Laminated Elastomeric Bearings for BridgesBrian EwingCT HQ - Sacramento Structural Materials Testing Laboratory03/01/2017Brian Ewing
Yes
03/08/2017