Summary for Test 2018-10-05-10-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 212295 DEA: 051J3604 EFIS: 0517000091 MINOR: 05A1988 |
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DIST-CO-RTE-PM | 05-SLO-1-28.0, 28.10 |
Award Date | Not set |
Closeout Date | 09/06/2019 |
Work Description | excavate and repair sinkhole; replace culvert; restore roadway |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 10/05/2018 | Sample Unique Key | 10 |
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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 | 10/11/2018 |
Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
The quantity of what the sample constitutes | 69 | 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 |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 17194-1 |
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Material/Compound/Elastomer ID | NA | Samples Representing | 2 |
Description (size) | 1" x 4" x 6" | Comments | Unknown |
Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | NA |
Test Details
DIME Sample ID: 2018-10-05-10
DIME Test ID: 2018-10-05-10-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-10-23
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 10/16/2018
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/16/2018 ✔