Summary for Test 2017-03-03-1-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211513 DEA: 120M4904 EFIS: 1212000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-1.2/2.2 |
| Award Date | 09/20/2016 |
| Closeout Date | 01/09/2020 |
| Work Description | WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS. |
| Location Description | ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/03/2016) |
Sample Information
| Sample Taken Date | 03/03/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/07/2017 | 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 | Corey |
| Last name of sampler or witnessed by | Nishioku | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | Unknown |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Scougal Rubber |
| Transportation Laboratory (TL) Number | NA | Inspector Lot Number from the Transportation Laboratory (TL) Form | NA |
| Structure unique identifier | Not set | Structure name | Not set |
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15520-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 5 |
| Description (size) | 2" x 18" x 18" | Comments | Unknown |
| Description (Number of Shims) | 4 | 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: 2017-03-03-1
DIME Test ID: 2017-03-03-1-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-03-24
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 03/14/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/17/2017 ✔