Summary for Test 2018-05-01-4-5
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212574 DEA: 02368414 EFIS: 0215000066 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-R4.6/R6.4 |
| Award Date | 10/13/2017 |
| Closeout Date | 11/24/2021 |
| Work Description | CONSTRUCT OVERCROSSING, WIDEN WITH HMA AND AB, AND OVERLAY WITH HMA |
| Location Description | SHASTA COUNTY NEAR PALO CEDRO FROM CLOUGH CREEK BRIDGE TO 0.6 MILE WEST OF DESCHUTES ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2017) |
Sample Information
| Sample Taken Date | 05/01/2018 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/02/2018 | Sample type | Quality Assurance |
| A brief description of the sample | Bearing Pad | The quantity of what the sample constitutes | 1 |
| 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 | Unknown | Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown |
| 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) | 16555-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 11 |
| Description (size) | 3" x 18" x 22" | Comments | Unknown |
| Description (Number of Shims) | 6 | 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: 2018-05-01-4
DIME Test ID: 2018-05-01-4-5
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-05-15
Test Results
Input Type: Measured
Tester's full name: Lisa Dobeck
Date of test: 05/08/2018
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/8/2018 ✔