Summary for Test 2023-04-24-9-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993141 DEA: 060V1204 EFIS: 0616000207 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R6.9/R7.6 |
| Award Date | 06/22/2022 |
| Closeout Date | 12/02/2025 |
| Work Description | Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS. |
| Location Description | MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2021) |
Sample Information
| Sample Taken Date | 04/24/2023 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 04/17/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 90 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Krishnampoorthy | Last name of sampler or witnessed by | Palaniappan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bridge Rubber Bearing | 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) | 2527-7 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 90 |
| Description (size) | 3.45" x 16" x 16" | Comments | |
| Description (Number of Shims) | 6 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Bridge Rubber Bearing |
| Batch Number | 132252 |
Test Details
DIME Sample ID: 2023-04-24-9
DIME Test ID: 2023-04-24-9-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-04-28
Test Results
Input Type: Measured
Tester's full name: Kirolos Kelada
Date of test: 04/28/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/28/2023 ✔
