DIME - Test Summary

Summary for Test 2023-03-07-50-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 994093 DEA: 07342804 EFIS: 0717000331
DIST-CO-RTE-PM	07-LA-14-R27.0/R28.1
Award Date	09/21/2022
Closeout Date	09/24/2024
Work Description	CONSTRUCT CATCHMENT WALL, ROCK SCALING AND CONCRETE BARRIER.
Location Description	LOS ANGELES COUNTY IN SANTA CLARITA FROM THE NEWHALL AVENUE UNDERCROSSING TO 0.1 MILE SOUTH OF PLACERITA CANYON ROAD UNDERCROSSING
QA Service Level	1 (Verified on 09/20/2022)

Sample Taken Date	03/07/2023	Sample Unique Key	50
Date that the sample was received by the laboratory/organization performing the testing	03/30/2023	Sample type	Quality Assurance
A brief description of the sample	Bearing Pad	The quantity of what the sample constitutes	50
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	David
Last name of sampler or witnessed by	Simon	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	D.S. Brown
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)	1065394-1102-2A-6
Material/Compound/Elastomer ID	NA	Samples Representing	50
Description (size)	48"x6"x.5"	Comments
Description (Number of Shims)	0	Type of Bearing Pad	Plain
Description (Thickness of Shims)	NA	Manufacturer(s)	DS Brown
Batch Number	NA

DIME Sample ID: 2023-03-07-50

DIME Test ID: 2023-03-07-50-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2023-04-20

Input Type: Measured

Tester's full name: Richard Wilmshurst

Date of test: 04/20/2023

Result: Pass

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

Test was verified on 4/20/2023 ✔