Sample Record

Owner Lab

  • CT HQ - Sacramento Materials Management Branch Field Office

DIME Sample ID 2023-12-19-2

Project Information

Project IdentifiersProject ID: 99999
DEA: 0322222
DIST-CO-RTE-PM03-SAC,OMG-888,99,80-0.6-0.6
Award DateNot set
Closeout DateNot set
Work DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level (Verified on 04/05/2013)

Sample Information

Sample Taken Date12/19/2023 Sample Unique Key2
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 testing01/19/2023
Sample typePer Request A brief description of the sampleFailed overhead sign structure; 3 dog bone specimens for tensile testing
The quantity of what the sample constitutes3 From where was the sample collectedJob Site
First name of sampler or witnessed byDavid Last name of sampler or witnessed byMurray
Title of samplerMaterials Engineer Telephone number of sampler9166395549
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameValmont Industries Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameChowchilla CHP Weigh Station

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)123
Material/Compound/Elastomer ID123 Samples Representing123
Description (size)123 Comments
Description (Number of Shims)123 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)123
Batch Number123

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