Summary for Test 2024-06-10-109-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 994574
DEA: 050C7334
EFIS: 0518000116
DIST-CO-RTE-PM05-SCR-1-10.5/13.4
Award Date06/29/2023
Closeout DateNot set
Work DescriptionCONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
QA Service Level1 (Verified on 04/13/2023)

Sample Information

Sample Taken Date06/10/2024 Sample Unique Key109
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 testing07/01/2024
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byKrishnamoorthy Last name of sampler or witnessed byPalaniappan
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBridge Rubber Bearing Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)2527-2
Material/Compound/Elastomer IDna Samples Representing27
Description (size)2.30" x 8" x 12" Comments
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Bridge Rubber Bearing
Batch Number138493

Test Details

DIME Sample ID: 2024-06-10-109
DIME Test ID: 2024-06-10-109-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2024-07-09

Test Results


Input Type: Measured
Tester's full name: Adam-Anthony Herrera
Date of test: 07/09/2024
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 7/9/2024