Summary for Test 2017-04-27-5-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,ORA-5-0.0/1.5, 44.3/44.4 |
| Award Date | 05/27/2016 |
| Closeout Date | 08/01/2023 |
| Work Description | CONSTRUCT HOV LANES AND MIX FLOW LANES. |
| Location Description | LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK |
| QA Service Level | 1 (Verified on 03/16/2016) |
Sample Information
| Sample Taken Date | 04/27/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/03/2017 | Sample type | Quality Assurance |
| A brief description of the sample | Bearing Pad | The quantity of what the sample constitutes | 4 |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Pete |
| Last name of sampler or witnessed by | Etcheverry | 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 | C925885 | Inspector Lot Number from the Transportation Laboratory (TL) Form | S3805117 |
| 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) | 15538-2, 3, 4, 5, 6, 7, 8, 16 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 4 |
| Description (size) | Various Size | Comments | Unknown |
| Description (Number of Shims) | 4 - 8 | 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: 2017-04-27-5
DIME Test ID: 2017-04-27-5-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-05-18
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 05/09/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/11/2017 ✔