DIME - Test Summary

Summary for Test 2021-12-20-27-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 212720 DEA: 07291404 EFIS: 0712000094
DIST-CO-RTE-PM	07-LA-1-55-58
Award Date	02/18/2021
Closeout Date	04/23/2026
Work Description	TRANCAS CREEK BRIDGE REPLACEMENT
Location Description	IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
QA Service Level	1 (Verified on 04/02/2021)

Sample Taken Date	12/20/2021	Sample Unique Key	27
Date that the sample was received by the laboratory/organization performing the testing	01/04/2022	Sample type	Quality Assurance
A brief description of the sample	bearing pad	The quantity of what the sample constitutes	2
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Patrick
Last name of sampler or witnessed by	Loomis	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)	21088-1
Material/Compound/Elastomer ID	na	Samples Representing	102
Description (size)	2.3"x8"x10"	Comments
Description (Number of Shims)	4	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2021-12-20-27

DIME Test ID: 2021-12-20-27-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2022-01-20

Input Type: Measured

Tester's full name: Richard Wilmshurst

Date of test: 01/20/2022

Result: Pass

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

Test was verified on 1/20/2022 ✔