DIME - Test Summary

Summary for Test 2020-12-01-18-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 214909 DEA: 120N8604 EFIS: 1214000123
DIST-CO-RTE-PM	12-ORA-73-23.7/24.1
Award Date	06/25/2020
Closeout Date	01/09/2023
Work Description	REPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA.
Location Description	ORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE
QA Service Level	1 (Verified on 07/21/2020)

Sample Taken Date	12/01/2020	Sample Unique Key	18
Date that the sample was received by the laboratory/organization performing the testing	12/30/2020	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	Mike
Last name of sampler or witnessed by	Spellman	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
Bid Item	Not set

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	4001677-1A
Material/Compound/Elastomer ID	na	Samples Representing	5
Description (size)	5.747 x 16" x 16"	Comments
Description (Number of Shims)	10	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	DS Brown
Batch Number	na

DIME Sample ID: 2020-12-01-18

DIME Test ID: 2020-12-01-18-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test

Test Release Date: 2021-01-06

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 01/06/2021

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/6/2021 ✔