Summary for Test 2021-02-05-13-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-17.1/18.9 |
| Award Date | 09/23/2020 |
| Closeout Date | Not set |
| Work Description | South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS. |
| Location Description | ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/01/2020) |
Sample Information
| Sample Taken Date | 02/05/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 02/12/2021 |
| 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 | Kayla | Last name of sampler or witnessed by | Wallace |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dynamic Rubber | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | CR55-001-21 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 23 |
| Description (size) | 3.45"x16"x24" | Comments | |
| Description (Number of Shims) | 6 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2021-02-05-13
DIME Test ID: 2021-02-05-13-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-02-24
Test Results
Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 02/24/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/24/2021 ✔