Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-08-12-9
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993779 DEA: 051K7204 EFIS: 0519000001 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-41-3.1 |
| Award Date | 06/30/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT SOLDIER PILE RETAINING WALL. |
| Location Description | SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT 3.1 MILES NORTH OF ROUTE 1/41 SEPARATION |
| QA Service Level | 1 (Verified on 05/02/2022) |
Sample Information
| Sample Taken Date | 08/12/2022 | Sample Unique Key | 9 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 1"x12"x12" plain neoprene solid pad |
| The quantity of what the sample constitutes | 18 pads | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Assoc Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cal-Neva | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-120-22 | Structure unique identifier | |
| Structure name | retaing wall |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | BP065236D |
|---|---|---|---|
| Material/Compound/Elastomer ID | Neoprene Pad 55 | Samples Representing | 18 pads |
| Description (size) | 1x12x12 | Comments | |
| Description (Number of Shims) | none | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | GRT |
| Batch Number | BP065236D |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||