DIME - Test Summary

Summary for Test 2019-07-25-8-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 213682 DEA: 11430184 EFIS: 1117000215
DIST-CO-RTE-PM	11-SD-805-8.4/8.8
Award Date	12/13/2018
Closeout Date	09/14/2023
Work Description	Bridge widening, HMA, barrier, drainage, RCP, and landscape work near Sweetwater River Bridge in Chula Vista. Widening of Sweetwater River Bridge in Chula Vista on 805.
Location Description	Near Sweetwater River Bridge in Chula Vista on 805.
QA Service Level	1 (Verified on 06/01/2020)

Sample Taken Date	07/25/2019	Sample Unique Key	8
Date that the sample was received by the laboratory/organization performing the testing	07/29/2019	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	Rob
Last name of sampler or witnessed by	Anderson	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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	17723-8
Material/Compound/Elastomer ID	na	Samples Representing	4
Description (size)	3" x 16" x 16"	Comments	Unknown
Description (Number of Shims)	6	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2019-07-25-8

DIME Test ID: 2019-07-25-8-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2019-07-30

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 07/30/2019

Result: Pass

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

Test was verified on 7/30/2019 ✔