Summary for Test 2016-11-11-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211070 DEA: 080Q3004 EFIS: 0800020191 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138-R17.1/R19.2 |
| Award Date | 04/18/2016 |
| Closeout Date | 09/28/2020 |
| Work Description | REALIGN SECTION OF STATE ROUTE 138 |
| Location Description | Near Hesperia from 1.9 mi East of Route 15 to 0.1 mi West of Summit Post Office Road to realign sections of State Route 138 |
| QA Service Level | 1 (Verified on 04/27/2016) |
Sample Information
| Sample Taken Date | 11/11/2016 | Sample Unique Key | 3 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 11/14/2016 | 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 | Fabricator | First name of sampler or witnessed by | Pete |
| Last name of sampler or witnessed by | Etcheverry | 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) | 14958-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 4" x 16" x 16" | Comments | Unknown |
| 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: 2016-11-11-3
DIME Test ID: 2016-11-11-3-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-11-21
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 11/21/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/21/2016 ✔