Summary for Test 2021-10-25-7-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214493 DEA: 07311704 EFIS: 0715000013 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-134-0.0/R13.3 |
| Award Date | 04/16/2020 |
| Closeout Date | 07/09/2024 |
| Work Description | CONCRETE SLAB REPLACEMENT, HMA PAVING, ELECTRICAL AND LANDSCAPE WORK. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES, BURBANK, GLENDALE AND PASADENA FROM ROUTE 101/134 SEPARATION TO JUNCTION OF ROUTE 210/710 |
| QA Service Level | 1 (Verified on 04/15/2020) |
Sample Information
| Sample Taken Date | 10/25/2021 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 11/10/2021 |
| Sample type | Stock | A brief description of the sample | Plain Bearing Pad |
| The quantity of what the sample constitutes | 1 ea | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | ASI | Telephone number of sampler | 5103855910 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cal-Neva | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-100-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 092721 |
|---|---|---|---|
| Material/Compound/Elastomer ID | 008168 | Samples Representing | 1 lot |
| Description (size) | 0.5x8x12 | Comments | |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | Warco Biltrite |
| Batch Number | NC8168 |
Test Details
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DIME Sample ID: 2021-10-25-7
DIME Test ID: 2021-10-25-7-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-11-17
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 11/17/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/17/2021 ✔