Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2016-10-10-2

Project Information

Project IdentifiersProject ID: 88888
DEA: STOCK
EFIS: 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 Date10/10/2016 Sample Unique Key2
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleChloroprene bridge pad
The quantity of what the sample constitutes529 Sq. ft From where was the sample collectedFabricator
First name of sampler or witnessed byStacey Last name of sampler or witnessed byDavis
Title of samplerQuality Assurance Inspector Telephone number of sampler562 480-6984
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCal-Neva Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB362-057-16 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)08-29-16-1
Material/Compound/Elastomer IDNC8168 Samples Representing1 Lot
Description (size)12" x 12" CommentsSample from Tag number 2190559
Description (Number of Shims)See notes below Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Warco Biltrite
Batch Number08-29-16

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.