Summary for Test 2016-06-20-5-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211004 DEA: 05330784 EFIS: 0512000076 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-46.0/50.2 |
| Award Date | 02/10/2016 |
| Closeout Date | 10/15/2019 |
| Work Description | CONVERT 2-LANE TO 4 LANE EXPRESSWAY. |
| Location Description | NEAR SHANDON FROM 0.2 MILE EAST OF MCMILLIAN CANYON ROAD TO 0.4 MILE WEST OF LUCY BROWN ROAD |
| QA Service Level | 1 (Verified on 01/08/2016) |
Sample Information
| Sample Taken Date | 06/20/2016 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 06/22/2016 |
| 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 | Fabricator |
| First name of sampler or witnessed by | Pete | Last name of sampler or witnessed by | Etcheverry |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 14862 1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 4in x 24in x 24in | Comments | Unknown |
| Description (Number of Shims) | 8 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2016-06-20-5
DIME Test ID: 2016-06-20-5-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-07-07
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 07/05/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/7/2016 ✔