DIME - Test Summary

Summary for Test 2021-07-29-26-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 215396 DEA: 042K8404 EFIS: 0417000031
DIST-CO-RTE-PM	04-SOL-29,80-0.0,0.8/1.6
Award Date	03/26/2021
Closeout Date	02/16/2024
Work Description	HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location Description	SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level	1 (Verified on 01/25/2021)

Sample Taken Date	07/29/2021	Sample Unique Key	26
Date that the sample was received by the laboratory/organization performing the testing	08/06/2021	Sample type	Quality Assurance
A brief description of the sample	bearing pad	The quantity of what the sample constitutes	2
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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	CR55-007-21 CR55-008-21
Material/Compound/Elastomer ID	na	Samples Representing	74
Description (size)	1.73"x12"x12"	Comments
Description (Number of Shims)	3	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Dynamic Rubber
Batch Number	253

DIME Sample ID: 2021-07-29-26

DIME Test ID: 2021-07-29-26-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2021-08-10

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 08/10/2021

Result: Pass

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

Test was verified on 8/10/2021 ✔