Summary for Test 2018-03-28-13-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-680-M2.4/M12.4 |
| Award Date | 11/16/2017 |
| Closeout Date | 12/08/2022 |
| Work Description | ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS |
| Location Description | FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2017) |
Sample Information
| Sample Taken Date | 03/28/2018 | Sample Unique Key | 13 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 04/03/2018 | Sample type | Quality Assurance |
| A brief description of the sample | Bearing Pad | The quantity of what the sample constitutes | 2 |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Kayla |
| Last name of sampler or witnessed by | Wallace | Title of sampler | Unknown |
| Telephone number of sampler | Unknown | Laboratory sample identification | Unknown |
| Linked DIME Sample ID | Unknown | The fabricator/manufacturer/facility name | Dynamic 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) | 14592 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | NA |
| Description (size) | 2.88in x 12in x 16in 1.15in x 10in x 12in | Comments | Unknown |
| Description (Number of Shims) | 5 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2018-03-28-13
DIME Test ID: 2018-03-28-13-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-04-10
Test Results
Input Type: Measured
Tester's full name: Lisa Dobeck
Date of test: 04/03/2018
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/3/2018 ✔