Summary for Test 2019-05-13-6-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212300 DEA: 044G3804 EFIS: 0412000463 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116-30.9/31.4 |
| Award Date | 03/15/2019 |
| Closeout Date | 02/16/2024 |
| Work Description | Construct Bridge, Retaining Walls, Traffic Signal |
| Location Description | SONOMA COUNTY NEAR COTATI FROM 0.3 MILE EAST OF HESSEL ROAD TO 0.1 MILE EAST OF BARTLESON ROAD |
| QA Service Level | 1 (Verified on 08/19/2019) |
Sample Information
| Sample Taken Date | 05/13/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 05/20/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 3 | 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 Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | CR55-004-19, CR55-005-19, CR55-006-19 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 75 |
| Description (size) | 1.15" x 3" x 12" and 16" | Comments | Unknown |
| Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2019-05-13-6
DIME Test ID: 2019-05-13-6-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-05-22
Test Results
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 ✔