Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2019-12-23-10

Project Information

Project IdentifiersProject ID: 213856
DEA: 112888U4
EFIS: 1118000199
DIST-CO-RTE-PM11-SD-11,125,905-Various
Award Date05/09/2019
Closeout Date09/14/2023
Work DescriptionCONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date12/23/2019 Sample Unique Key10
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 testing01/06/2020
Sample typeQuality Assurance A brief description of the sampleelastomeric bearing pad
The quantity of what the sample constitutes7 From where was the sample collectedManufacturer
First name of sampler or witnessed byKayla Last name of sampler or witnessed byWallace
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDynamic Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15570
Material/Compound/Elastomer IDna Samples Representing7
Description (size)2.30x18x20 CommentsUnknown
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Dynamic Rubber
Batch Numberna

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments