Summary for Test 2023-02-21-2-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993446 DEA: 120J34U4 EFIS: 1218000034 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55,55-29.6,R6.4/10.3 |
| Award Date | 05/27/2022 |
| Closeout Date | Not set |
| Work Description | CONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION |
| QA Service Level | 1 (Verified on 06/24/2022) |
Sample Information
| Sample Taken Date | 02/21/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 02/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 41 | From where was the sample collected | Manufacturer |
| 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 | 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) | 22116-3 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 41 |
| Description (size) | 1.15x8x10 | 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: 2023-02-21-2
DIME Test ID: 2023-02-21-2-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-02-27
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 02/27/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/27/2023 ✔