Summary for Test 2019-03-07-4-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212993 DEA: 033F5304 EFIS: 0313000135 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-67.3 |
| Award Date | 11/09/2018 |
| Closeout Date | 09/20/2022 |
| Work Description | ECHO SUMMIT BRIDGE IS A 24-FT WIDE, THREE-SPAN, REINFORCED CONCRETE GIRDER BRIDGE |
| Location Description | EL DORADO COUNTY NEAR MEYERS AT ECHO SUMMIT SIDEHILL VIADUCT |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 03/07/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/08/2019 | 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 | |
| Telephone number of sampler | Laboratory sample identification | ||
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Scougal Rubber | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| 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) | 17375-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 29 |
| Description (size) | 2"x12"x12" | Comments | Unknown |
| Description (Number of Shims) | 4 | 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: 2019-03-07-4
DIME Test ID: 2019-03-07-4-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-03-12
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 03/12/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/12/2019 ✔