DIME - Test Summary

Summary for Test 2021-12-01-20-1

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 215255 DEA: 040A7714 EFIS: 0420000287
DIST-CO-RTE-PM	04-ALA-80-6.4-6.6
Award Date	05/03/2021
Closeout Date	12/01/2023
Work Description	CONSTRUCT PEDESTRIAN OVERCROSSING BRIDGE AND RETAINING WALLS. GILMAN INTERCHANGE IMPROVEMENTS
Location Description	ALAMEDA COUNTY IN BERKELEY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.1 MILE SOUTH OF GILMAN STREET UNDERCROSSING
QA Service Level	1 (Verified on 12/07/2020)

Sample Taken Date	12/01/2021	Sample Unique Key	20
Date that the sample was received by the laboratory/organization performing the testing	12/14/2021	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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	20993-1
Material/Compound/Elastomer ID	na	Samples Representing	7
Description (size)	4.60"x12"x12"	Comments
Description (Number of Shims)	8	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2021-12-01-20

DIME Test ID: 2021-12-01-20-1

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2021-12-15

Input Type: Measured

Tester's full name: Rachael Chavez

Date of test: 12/15/2021

Result: Pass

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

Test was verified on 12/15/2021 ✔