Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2022-09-15-71
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Project Information
| Project Identifiers | Project ID: 214487 DEA: 120Q9304 EFIS: 1217000128 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,133,241-122,241-var |
| Award Date | 05/09/2022 |
| Closeout Date | Not set |
| Work Description | 12-0Q930, SHOPP RESERVATION BRIDGE PROJECT - BRIDGE UPGRADE, WINGWALL, SUBSTRUCTURE, DECK, SPALL, JOINT SEAL, CONC. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
| Sample Taken Date | 09/15/2022 | Sample Unique Key | 71 |
|---|---|---|---|
| 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 | 09/22/2022 |
| 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 | Kari | Last name of sampler or witnessed by | Gibbs |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brown | 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) | 646241103-1A |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 10 |
| Description (size) | 1.724x12x14 | Comments | |
| Description (Number of Shims) | 3 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | DS Brown |
| Batch Number | NA |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-15-71-1 ASTM D2240-15r21 (Verified)
DIME Test ID: 2022-09-15-71-2 ASTM D412-16r21 (Verified)
DIME Test ID: 2022-09-15-71-3 ASTM D624-00r20 (Verified)
DIME Test ID: 2022-09-15-71-4 SMTL BILST-06 (Verified)