Summary for Test 2019-08-12-18-5
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212501 DEA: 022E4804 EFIS: 0200000586 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96,263-103.1/103.6,56.8/57.2 |
| Award Date | 12/14/2018 |
| Closeout Date | 12/01/2021 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 08/12/2019 | Sample Unique Key | 18 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 08/20/2019 | 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 | Ellen |
| Last name of sampler or witnessed by | Meaden | 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) | 17468-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 11 |
| Description (size) | 3.5" x 14" x 14" | Comments | Unknown |
| Description (Number of Shims) | 7 | 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: 2019-08-12-18
DIME Test ID: 2019-08-12-18-5
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-08-28
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 08/28/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/28/2019 ✔