Sample Record
Owner Labs
- CT HQ - Sacramento Structural Materials Testing Laboratory
- CT HQ - Sacramento Chemistry Laboratory
DIME Sample ID 2021-08-30-27
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Project Information
| Project Identifiers | Project ID: 215516 DEA: 042Q0604 EFIS: 0418000414 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-17,101,237,280,880-var |
| Award Date | 04/20/2021 |
| Closeout Date | 03/27/2023 |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY, PLACE HMA, AND REPLACE ACCESS DOORS. |
| Location Description | SANTA CLARA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/02/2021) |
Sample Information
| Sample Taken Date | 08/30/2021 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 09/03/2021 |
| 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 | Patrick | Last name of sampler or witnessed by | Loomis |
| 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) | 20482-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 11 |
| Description (size) | 1.15"x10"x10" | Comments | |
| Description (Number of Shims) | 2 | 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: 2021-08-30-27-1 ASTM D2240-05re10 (Verified)
DIME Test ID: 2021-08-30-27-2 ASTM D412-06a-re13 (Verified)
DIME Test ID: 2021-08-30-27-3 ASTM D624-00-re12 (Verified)
DIME Test ID: 2021-08-30-27-4 SMTL BILST-06 (Verified)