Summary for Test 2019-01-17-3-1

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout Date05/04/2022
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
QA Service Level1 (Verified on 03/29/2018)

Sample Information

Sample Taken Date01/17/2019 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing01/30/2019 Sample typeQuality Assurance
A brief description of the samplebearing pad The quantity of what the sample constitutes1
From where was the sample collectedManufacturer First name of sampler or witnessed byDavid
Last name of sampler or witnessed bySimon Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDS Brown
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)C1901-5557-09
Material/Compound/Elastomer IDna Samples Representing3
Description (size).05 x 24 x 36 CommentsUnknown
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)DS Brown
Batch Numberna

Test Details

DIME Sample ID: 2019-01-17-3
DIME Test ID: 2019-01-17-3-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-02-05

Test Results


Input Type: Calculated
Tester's full name: Rheanna Andelin
Date of test: 02/05/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/5/2019 ✔