Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT HQ - Sacramento Chemistry Laboratory
DIME Sample ID 2021-01-27-7
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Project Information
| Project Identifiers | Project ID: 214190 DEA: 024G41U4 EFIS: 0218000047 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,SIS-5-Var |
| Award Date | 08/26/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | REPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL. |
| Location Description | SHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/09/2019) |
Sample Information
| Sample Taken Date | 01/27/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 02/03/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Bret | Last name of sampler or witnessed by | Thomas |
| Title of sampler | Telephone number of sampler | ||
| 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 | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 19657-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 3.45" x 14" x 24" | Comments | |
| Description (Number of Shims) | 6 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-01-27-7-1 ASTM D2240-05re10 (Verified)
DIME Test ID: 2021-01-27-7-2 ASTM D412-06a-re13 (Verified)
DIME Test ID: 2021-01-27-7-3 ASTM D624-00-re12 (Verified)
DIME Test ID: 2021-01-27-7-4 SMTL BILST-06 (Verified)