Summary for Test 2021-10-29-4-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214562 DEA: 040J7104 EFIS: 0414000029 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-1.8/4.4 |
| Award Date | 03/17/2020 |
| Closeout Date | 02/29/2024 |
| Work Description | RAISE BRIDGE AND PLACE STRUCTURAL CONCRETE. |
| Location Description | SOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 12/03/2019) |
Sample Information
| Sample Taken Date | 10/29/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/01/2021 | Sample type | Quality Assurance |
| A brief description of the sample | bearing pad | The quantity of what the sample constitutes | 4 |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Ahsan |
| Last name of sampler or witnessed by | Ativalu | 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 Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 20689-2 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 180 |
| Description (size) | 1.72"x18"x19" | Comments | |
| Description (Number of Shims) | 3 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2021-10-29-4
DIME Test ID: 2021-10-29-4-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-11-01
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 11/01/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/1/2021 ✔