Summary for Test 2016-10-31-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211237 DEA: 080Q7904 EFIS: 0800020481 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R93.1/94.2 |
| Award Date | 06/03/2016 |
| Closeout Date | 05/03/2018 |
| Work Description | REPLACE HOFF WASH BRIDGE (BRIDGE NUMBER 54-0889L/R) |
| Location Description | SAN BERNARDINO COUNTY FROM 0.3 MILE WEST TO 0.4 MILE EAST OF HOFF WASH BRIDGE |
| QA Service Level | 1 (Verified on 07/01/2016) |
Sample Information
| Sample Taken Date | 10/31/2016 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 11/08/2016 |
| Sample type | Quality Assurance | A brief description of the sample | elastomeric bearing pad |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Corey | Last name of sampler or witnessed by | Nishioku |
| 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 | NA |
| 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) | 15100-1, 2 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 58 |
| Description (size) | 1.5 x12 x 15 | Comments | Unknown |
| Description (Number of Shims) | 3 | 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: 2016-10-31-3
DIME Test ID: 2016-10-31-3-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-11-16
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 11/15/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/16/2016 ✔