Summary for Test 2022-05-19-56-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214135 DEA: 09213404 EFIS: 0900000030 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-29.9/41.8 |
| Award Date | 10/22/2021 |
| Closeout Date | Not set |
| Work Description | ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT. |
| Location Description | INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/03/2019) |
Sample Information
| Sample Taken Date | 05/19/2022 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 05/26/2022 |
| 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 | Mike | Last name of sampler or witnessed by | Spellman |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brown Seismic Energy | 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) | 4002223-1A |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | NA |
| Description (size) | 14x14 | Comments | |
| Description (Number of Shims) | 3 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | DS Brown |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2022-05-19-56
DIME Test ID: 2022-05-19-56-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-05-26
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 05/26/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/26/2022 ✔