Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-10-17-5
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Project Information
| Project Identifiers | Project ID: 211513 DEA: 120M4904 EFIS: 1212000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-1.2/2.2 |
| Award Date | 09/20/2016 |
| Closeout Date | 01/09/2020 |
| Work Description | WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS. |
| Location Description | ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/03/2016) |
Sample Information
| Sample Taken Date | 10/17/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 testing | 10/19/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cal Neva | Transportation Laboratory (TL) Number | C741438 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-091-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 100917 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 5 |
| Description (size) | 1" x 6" x 8" | Comments | Unknown |
| Description (Number of Shims) | 1 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Cal Neva |
| Batch Number | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-10-17-5-1 ASTM D4014-03re12 (Verified)