DIME - Test Summary

Summary for Test 2021-04-28-13-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 212571 DEA: 051F79A4 EFIS: 0514000061
DIST-CO-RTE-PM	05-SB-101-55.9/R56.2
Award Date	09/13/2022
Closeout Date	07/02/2026
Work Description	Nojoqui Creek Bridge (51-0018 L/R) widening and rail replacement.
Location Description	IN SANTA BARBARA COUNTY NEAR BUELLTON AT NOJOQUI CREEK BRIDGE (BR #51-0018 L/R)
QA Service Level	1 (Verified on 02/20/2020)

Sample Taken Date	04/28/2021	Sample Unique Key	13
Date that the sample was received by the laboratory/organization performing the testing	05/03/2021	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	Brad
Last name of sampler or witnessed by	Streeter	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Scougal Rubber
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)	19974-1
Material/Compound/Elastomer ID	na	Samples Representing	11
Description (size)	1.72"x12"x12"	Comments
Description (Number of Shims)	3	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2021-04-28-13

DIME Test ID: 2021-04-28-13-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2021-05-10

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 05/10/2021

Result: Pass

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

Test was verified on 5/10/2021 ✔