DIME - Test Summary

Summary for Test 2019-05-13-5-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 213763 DEA: 060Q19A4 EFIS: 0613000152
DIST-CO-RTE-PM	06-KER-58-R99.0/R100.3
Award Date	02/04/2019
Closeout Date	10/22/2021
Work Description	WIDEN SHOULDERS AND REPLACE BRIDGES
Location Description	KERN COUNTY NEAR TEHACHAPI FROM 0.5 MILE WEST TO 0.8 MILE EAST OF SAND CANYON UNDERCROSSING
QA Service Level	1 (Verified on 01/09/2019)

Sample Taken Date	05/13/2019	Sample Unique Key	5
Date that the sample was received by the laboratory/organization performing the testing	05/20/2019	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	Kayla
Last name of sampler or witnessed by	Wallace	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Dynamic Rubber
Transportation Laboratory (TL) Number	NA	Inspector Lot Number from the Transportation Laboratory (TL) Form	NA
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	CR55-003-19
Material/Compound/Elastomer ID	NA	Samples Representing	Unknown
Description (size)	2.30" x 12" x 20"	Comments	Unknown
Description (Number of Shims)	4	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Dynamic Rubber
Batch Number	NA

DIME Sample ID: 2019-05-13-5

DIME Test ID: 2019-05-13-5-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test

Test Release Date: 2019-05-22

Input Type: Calculated

Tester's full name: Rheanna Andelin

Date of test: 05/22/2019

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/22/2019 ✔