Summary for Test 2019-12-10-18-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-405,73,405,605-9.3/24.3 |
| Award Date | 11/07/2016 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP. |
| Location Description | Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2 |
| QA Service Level | 1 (Verified on 09/10/2015) |
Sample Information
| Sample Taken Date | 12/10/2019 | Sample Unique Key | 18 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 12/18/2019 | Sample type | Quality Assurance |
| A brief description of the sample | elastomeric bearing pad | The quantity of what the sample constitutes | 4 |
| From where was the sample collected | Manufacturer | First name of sampler or witnessed by | Ismail |
| Last name of sampler or witnessed by | Ibrahim | 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) | 17783 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 150 |
| Description (size) | 2.87x14x144.02x14x145.17x14x146.9x24x24 | Comments | Unknown |
| Description (Number of Shims) | 5 7 9 12 | 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: 2019-12-10-18
DIME Test ID: 2019-12-10-18-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-12-19
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 12/19/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/19/2019 ✔