DIME - Test Summary

Summary for Test 2022-02-10-13-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 215456 DEA: 07293604 EFIS: 0713000238
DIST-CO-RTE-PM	07-LA-405-14.3/15.8
Award Date	05/26/2021
Closeout Date	07/03/2025
Work Description	CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location Description	LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
QA Service Level	1 (Verified on 07/07/2021)

Sample Taken Date	02/10/2022	Sample Unique Key	13
Date that the sample was received by the laboratory/organization performing the testing	02/10/2022	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	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)	20677-5
Material/Compound/Elastomer ID	na	Samples Representing	60
Description (size)	1"x8"x12"	Comments
Description (Number of Shims)	0	Type of Bearing Pad	Plain
Description (Thickness of Shims)	NA	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2022-02-10-13

DIME Test ID: 2022-02-10-13-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2022-02-11

Input Type: Measured

Tester's full name: Rachael Chavez

Date of test: 02/11/2022

Result: Pass

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

Test was verified on 2/11/2022 ✔