Summary for Test 2017-07-21-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212253 DEA: 010H0304 EFIS: 0117000087 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-96-20.0/24.0, 0.83 |
| Award Date | 02/22/2017 |
| Closeout Date | 01/08/2019 |
| Work Description | REPAIR SLIPOUT |
| Location Description | IN HUMBOLDT COUNTY NEAR WEITCHPEC FROM 3.0 MILES OF KLAMATH RIVER BRIDGE #04-0144 TO 0.6 MILE EAST OF WEITCHPEC ROAD |
| QA Service Level | 1 (Verified on 04/24/2017) |
Sample Information
| Sample Taken Date | 07/21/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 07/24/2017 | Sample type | Quality Assurance |
| A brief description of the sample | 1 x 8 x 12 reinforced bearing pad | The quantity of what the sample constitutes | 1 lot of 43 |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Stacey |
| Last name of sampler or witnessed by | Davis | Title of sampler | QAI |
| Telephone number of sampler | 5624806904 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Cal-Neva | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | B362-075-17 | |
| 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) | N/A Heat 811V04180 |
|---|---|---|---|
| Material/Compound/Elastomer ID | RL305502 | Samples Representing | 1 lot of 43 |
| Description (size) | 1 x 8 12 | Comments | |
| Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Arcelormittal |
| Batch Number | 071017 |
Test Details
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DIME Sample ID: 2017-07-21-3
DIME Test ID: 2017-07-21-3-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-08-07
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 07/28/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/31/2017 ✔