Summary for Test 2021-11-08-27-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 215634 DEA: 074W8004 EFIS: 0719000298 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-33,101,118-Var |
| Award Date | 05/21/2021 |
| Closeout Date | 12/01/2023 |
| Work Description | FURNISH AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE DECK. |
| Location Description | VENTURA COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 08/02/2021) |
Sample Information
| Sample Taken Date | 11/08/2021 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 11/12/2021 |
| 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 | Manufacturer |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Streeter |
| 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) | 20612-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 8 |
| Description (size) | 2.3"x12"x17" | Comments | |
| Description (Number of Shims) | 4 | 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: 2021-11-08-27
DIME Test ID: 2021-11-08-27-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-11-18
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 11/18/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/18/2021 ✔