Summary for Test 2023-05-22-66-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 994245 DEA: 051H4304 EFIS: 0516000073 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-21.4/21.9 |
| Award Date | 03/02/2023 |
| Closeout Date | Not set |
| Work Description | San Jose Creek Bridge replacement |
| Location Description | SANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 05/22/2023 | Sample Unique Key | 66 |
|---|---|---|---|
| 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 | 05/31/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 125 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Krishnamoorthy | 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) | 2527-8 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 125 |
| Description (size) | 2.3" x 12" x 12" | Comments | |
| Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Bridge Rubber Bearing |
| Batch Number | 133213 |
Test Details
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DIME Sample ID: 2023-05-22-66
DIME Test ID: 2023-05-22-66-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-06-06
Test Results
Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 06/06/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/6/2023 ✔