Summary for Test 2016-10-03-4-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211321 DEA: 041K8004 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP,NAP-121-16.7/16.9, 16.7/20.35 |
| Award Date | 03/18/2016 |
| Closeout Date | 12/20/2017 |
| Work Description | Install temporary one-way traffic control signals, construct soldier pile retaining wall, reconstruct roadway, place RSP & perform miscellaneous related work |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/15/2016) |
Sample Information
| Sample Taken Date | 10/03/2016 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 10/04/2016 | 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 | Job Site | First name of sampler or witnessed by | Garnal |
| Last name of sampler or witnessed by | Abushaban | 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 | C839657 | Inspector Lot Number from the Transportation Laboratory (TL) Form | NA |
| 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) | 15049-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 111 |
| Description (size) | 1" x 8" x 12" | Comments | Unknown |
| 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
DIME Sample ID: 2016-10-03-4
DIME Test ID: 2016-10-03-4-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-10-17
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 10/14/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/17/2016 ✔
