Sample Record

Owner Labs

  • CT HQ - Sacramento Chemistry Laboratory
  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-03-18-7

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date03/18/2021 Sample Unique Key7
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 testing03/19/2021
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 byBrad Last name of sampler or witnessed byStreeter
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameScougal 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)19699-1
Material/Compound/Elastomer IDna Samples Representing3
Description (size)1.75"x10"x10" Comments
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-18-7-1SMTL BILST-06: (Neoprene Verification) Bilstein TestYared MelketsadikCT HQ - Sacramento Chemistry Laboratory03/24/2021Yared Melketsadik
Yes
03/24/2021
2021-03-18-7-2ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer HardnessSteven PaineCT HQ - Sacramento Structural Materials Testing Laboratory03/23/2021Steven Paine
Yes
03/25/2021
2021-03-18-7-3ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers—TensionspaineCT HQ - Sacramento Structural Materials Testing Laboratory03/24/2021spaine
Yes
03/25/2021
2021-03-18-7-4ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic ElastomersspaineCT HQ - Sacramento Structural Materials Testing Laboratory03/24/2021spaine
Yes
03/25/2021