Summary for Test 2022-12-13-39-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993424 DEA: 04281204 EFIS: 0400000769 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29,221-5.5/6.7,0.0/0.2 |
| Award Date | 03/21/2022 |
| Closeout Date | Not set |
| Work Description | HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS. |
| Location Description | NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29 |
| QA Service Level | 1 (Verified on 12/08/2021) |
Sample Information
| Sample Taken Date | 12/13/2022 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 12/14/2022 |
| 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 | Fabricator |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Streeter |
| 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) | 22331-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 4x14x16 | Comments | |
| 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: 2022-12-13-39
DIME Test ID: 2022-12-13-39-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-12-20
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 12/20/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/20/2022 ✔