DIME - Test Summary

Summary for Test 2022-05-19-56-4

Test performed: SMTL BILST-06

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	05/29/2026
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 Taken Date	05/19/2022	Sample Unique Key	56
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 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

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

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 ✔