Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2017-05-09-2
Project Information
Project Identifiers | Project ID: 212117 DEA: 044K4304 EFIS: 0417000309 |
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DIST-CO-RTE-PM | 04-SON-128-1.3, 1.30 |
Award Date | 02/09/2017 |
Closeout Date | 12/20/2017 |
Work Description | IN SONOMA COUNTY, ON ROUTE 128, EAST OF CLOVERDALE. REPAIR SLIPOUT BY CONSTRUCTING SOLDIER PILE TIE-BACK WALL |
Location Description | Not set |
QA Service Level | 1 (Verified on 03/16/2017) |
Sample Information
Sample Taken Date | 05/09/2017 | Sample Unique Key | 2 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
Sample type | Acceptance | A brief description of the sample | 1.15x8x12 elastomeric bearing |
The quantity of what the sample constitutes | 16 | From where was the sample collected | Source |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
Title of sampler | QA | Telephone number of sampler | 9165170532 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-135-17 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15768-1 |
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Material/Compound/Elastomer ID | CP2527VCP2628ARS | Samples Representing | 16 pads |
Description (size) | 1.15x8x12 | Comments | |
Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | 0 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |