Summary for Test 2019-08-07-16-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213583 DEA: 060H2004 EFIS: 0612000157 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-201,216-12.5,21.2,18.7 |
| Award Date | 11/29/2018 |
| Closeout Date | 11/29/2021 |
| Work Description | BRIDGE WIDENING, UPGRADE LANES AND OUTSIDE SHOULDERS. |
| Location Description | TULARE COUNTY NEAR CUTLER ON ROUTE 201 AT SAND CREEK BRIDGE AND AT FRIANT KERN CANAL BRIDGE AND NEAR WOODLAKE ON ROUTE 216 AT KAWEAH RIVER BRIDGE |
| QA Service Level | 1 (Verified on 09/25/2018) |
Sample Information
| Sample Taken Date | 08/07/2019 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 08/12/2019 |
| Sample type | Quality Assurance | A brief description of the sample | bearing pad |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ahsan | Last name of sampler or witnessed by | Ativalu |
| 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 |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 17490-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 8 |
| Description (size) | 2" x 9" 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
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DIME Sample ID: 2019-08-07-16
DIME Test ID: 2019-08-07-16-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-08-14
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 08/14/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/14/2019 ✔