Summary for Test 2018-09-27-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213062 DEA: 07292304 EFIS: 0712000109 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5-25.6/26.0 |
| Award Date | 04/04/2018 |
| Closeout Date | 06/08/2020 |
| Work Description | WIDEN OFF-RAMP, WIDEN BRIDGE, AND CONSTRUCT CONCRETE BARRIER. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES FROM 0.1 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5S/5 SEPARATION |
| QA Service Level | 1 (Verified on 04/18/2018) |
Sample Information
| Sample Taken Date | 09/27/2018 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 09/26/2018 |
| 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 | Corey | Last name of sampler or witnessed by | Nishioku |
| 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 | 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) | 17133-1B |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 3 |
| Description (size) | 1.5" x 8" x 16" | Comments | Unknown |
| Description (Number of Shims) | 3 | 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: 2018-09-27-3
DIME Test ID: 2018-09-27-3-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-10-11
Test Results
Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 10/04/2018
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/4/2018 ✔