Summary for Test 2021-05-05-29-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
| Award Date | 09/23/2020 |
| Closeout Date | 08/11/2023 |
| Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
| Sample Taken Date | 05/05/2021 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 05/27/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 9 | 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 | D S Brown | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 4001799-2A |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 9 |
| Description (size) | 2.30 x 12 x 12 | Comments | |
| Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | D S Brown |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2021-05-05-29
DIME Test ID: 2021-05-05-29-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-05-28
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 05/28/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/28/2021 ✔