DIME - Test Summary

Summary for Test 2023-03-29-10-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 993693 DEA: 010H7804 EFIS: 0118000106
DIST-CO-RTE-PM	01-MEN-271-19.8
Award Date	06/15/2022
Closeout Date	03/04/2024
Work Description	Project Name: McCoy Creek Sinks/Slides (Description of Work: ROADWAY EXCAVATION, DRILLED HOLE AND STEEL SOLDIER PILE)
Location Description	MENDOCINO COUNTY NEAR PIERCY AT 0.3 MILE NORTH OF ROUTE 101/271 SEPARATION
QA Service Level	1 (Verified on 04/19/2022)

Sample Taken Date	03/29/2023	Sample Unique Key	10
Date that the sample was received by the laboratory/organization performing the testing	04/03/2023	Sample type	Quality Assurance
A brief description of the sample	1" X 10" X 10"	The quantity of what the sample constitutes	31
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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	22975-2
Material/Compound/Elastomer ID	NA	Samples Representing	13
Description (size)	1" x 10" x 10"	Comments
Description (Number of Shims)	2	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	NA

DIME Sample ID: 2023-03-29-10

DIME Test ID: 2023-03-29-10-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2023-04-12

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 04/12/2023

Result: Pass

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

Test was verified on 4/12/2023 ✔