Summary for Test 2023-06-22-59-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 994239 DEA: 010H0214 EFIS: 0118000107 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-169-19.0/33.0 |
| Award Date | 12/07/2022 |
| Closeout Date | Not set |
| Work Description | Cappell Walls |
| Location Description | HUMBOLDT COUNTY NEAR PECWAN FROM 3.4 MILES WEST OF CAPPELL CREEK BRIDGE TO 0.4 MILE EAST OF WEITCHPEC SCHOOL ROAD (Description of Work: Construct Soldier Pile Wall, Install Drainage, Place HMA (Type A)) |
| QA Service Level | 1 (Verified on 09/22/2022) |
Sample Information
| Sample Taken Date | 06/22/2023 | Sample Unique Key | 59 |
|---|---|---|---|
| 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 | 08/04/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 26 | 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 |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 22802-7 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 26 |
| Description (size) | 1" x 8" x 12" | Comments | |
| Description (Number of Shims) | 2 | 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: 2023-06-22-59
DIME Test ID: 2023-06-22-59-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-08-29
Test Results
Input Type: Measured
Tester's full name: Adam-Anthony Herrera
Date of test: 08/23/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/29/2023 ✔