DIME - Test Summary

Summary for Test 2019-09-17-1-4

Test performed: SMTL BILST-06

Project Identifiers	DEA: No Project
DIST-CO-RTE-PM	---
Award Date	Not set
Closeout Date	11/01/2022
Work Description	Special project identifier for material not associated with a project
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	09/17/2019	Sample Unique Key	1
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	09/20/2019
Sample type	Quality Assurance	A brief description of the sample	1/2 " neo bearing pad
The quantity of what the sample constitutes	1 Batch	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Ed	Last name of sampler or witnessed by	Fleming
Title of sampler	TET	Telephone number of sampler	707-310-2029
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cal-Neva	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	B10-190-19	Structure unique identifier
Structure name		Bid Item	Not set

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	41-1200-12
Material/Compound/Elastomer ID	Neoprene Pad 55	Samples Representing	45
Description (size)	1	Comments
Description (Number of Shims)	0	Type of Bearing Pad	Plain
Description (Thickness of Shims)	NA	Manufacturer(s)	GRT Rubber
Batch Number	BP056206

DIME Sample ID: 2019-09-17-1

DIME Test ID: 2019-09-17-1-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2019-09-25

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 09/25/2019

Result: Pass

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

Test was verified on 9/25/2019 ✔