Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2022-11-01-43

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date11/01/2022 Sample Unique Key43
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 testing11/01/2022
Sample typeStock A brief description of the sample1/2" x 12" x 12" Neoprene bearing pad
The quantity of what the sample constitutes180 lf From where was the sample collectedSupplier
First name of sampler or witnessed byJason Last name of sampler or witnessed byGramlick
Title of samplerAssociate Steel Inspector Telephone number of sampler5104537830
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalNeva Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB-3-701-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)205-32-482
Material/Compound/Elastomer ID258 Samples Representing120 sqft
Description (size).500 x 12 x 12 Comments
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)American Biltrite
Batch Number205-32-482

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments