DIME - Test Summary

Summary for Test 2023-09-18-75-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 995143 DEA: 120T1104 EFIS: 1222000003
DIST-CO-RTE-PM	12-ORA-55-0.1/15.3
Award Date	02/28/2023
Closeout Date	06/18/2024
Work Description	Treat bridge deck, Paint girder, Replace joint seal and bearing pad
Location Description	Orange County at Various Locations on State Routes 1, 55, and 241
QA Service Level	1 (Verified on 09/11/2023)

Sample Taken Date	09/18/2023	Sample Unique Key	75
Date that the sample was received by the laboratory/organization performing the testing	09/27/2023	Sample type	Quality Assurance
A brief description of the sample	Bearing Pad	The quantity of what the sample constitutes	5
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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	2527-10
Material/Compound/Elastomer ID	NA	Samples Representing	5
Description (size)	6.33" x 22" x 26"	Comments
Description (Number of Shims)	11	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Bridge Rubber Bearing
Batch Number	135189

DIME Sample ID: 2023-09-18-75

DIME Test ID: 2023-09-18-75-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2023-10-05

Input Type: Measured

Tester's full name: Richard Wilmshurst

Date of test: 10/05/2023

Result: Pass

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

Test was verified on 10/5/2023 ✔