Summary for Test 2022-08-10-27-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993235 DEA: 051H4504 EFIS: 0516000075 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-154-R31.8/R32.1 |
| Award Date | 11/22/2021 |
| Closeout Date | 07/31/2024 |
| Work Description | CONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/06/2021) |
Sample Information
| Sample Taken Date | 08/10/2022 | Sample Unique Key | 27 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/12/2022 | 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 | AMBER |
| Last name of sampler or witnessed by | Talley | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Scougal Rubber Corp | |
| 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) | 21180-4 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 1.5"x18"x24" | Comments | |
| Description (Number of Shims) | 2 | 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: 2022-08-10-27
DIME Test ID: 2022-08-10-27-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-08-18
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 08/18/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/18/2022 ✔