Summary for Test 2021-09-20-29-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214937 DEA: 11288834 EFIS: 1117000088 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-11,125,905-various |
| Award Date | 07/28/2020 |
| Closeout Date | 03/05/2024 |
| Work Description | CONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905 |
| Location Description | SAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION |
| QA Service Level | 1 (Verified on 09/04/2020) |
Sample Information
| Sample Taken Date | 09/20/2021 | 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 | 09/24/2021 |
| 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 | Job Site |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Charak |
| 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 | C690867 |
| 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) | 1060804-1A |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 10 |
| Description (size) | 4.6"x20"x20" | Comments | |
| Description (Number of Shims) | 8 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | DS Brown |
| Batch Number | na |
Test Details
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DIME Sample ID: 2021-09-20-29
DIME Test ID: 2021-09-20-29-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-10-01
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 10/01/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/1/2021 ✔