DIME - Test Summary

Summary for Test 2023-01-04-9-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645
DIST-CO-RTE-PM	08-SBD-10-0.0/13.2
Award Date	06/06/2018
Closeout Date	Not set
Work Description	Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description	LA/SBD County Line to PM 13.2 near I-15
QA Service Level	1 (Verified on 10/16/2019)

Sample Taken Date	01/04/2023	Sample Unique Key	9
Date that the sample was received by the laboratory/organization performing the testing	01/06/2023	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	William
Last name of sampler or witnessed by	Shanklin	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Scougal Rubber
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)	22710-1
Material/Compound/Elastomer ID	NA	Samples Representing	1
Description (size)	2.5x15x15	Comments
Description (Number of Shims)	5	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	NA

DIME Sample ID: 2023-01-04-9

DIME Test ID: 2023-01-04-9-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test

Test Release Date: 2023-01-09

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 01/09/2023

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/9/2023 ✔