Summary for Test 2019-05-22-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213357 DEA: 024F2004 EFIS: 0212000071 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-59.4/59.8 |
| Award Date | 11/02/2018 |
| Closeout Date | 01/04/2021 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SHASTA COUNTY NEAR OLD STATION FROM 0.3 MILE WEST TO 0.2 MILE EAST OF HAT CREEK BRIDGE |
| QA Service Level | 1 (Verified on 06/21/2018) |
Sample Information
| Sample Taken Date | 05/22/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 06/03/2019 |
| 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 | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 17698-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 45 |
| Description (size) | 2" x 12" x 12" | 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
Test Details QR Code
Scan this code to open this Test Details view on another device.
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
DIME Sample ID: 2019-05-22-3
DIME Test ID: 2019-05-22-3-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-06-14
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 06/07/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/7/2019 ✔