Summary for Test 2019-12-16-1-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214231 DEA: 051M1704 EFIS: 0519000077 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-1-71.5/72, 71.5/72.0 |
| Award Date | 04/17/2019 |
| Closeout Date | 08/17/2022 |
| Work Description | Polar Star Emergency wall and viaduct; NOTE ON FUNDING: This is an emergency project, per PM, METS (unit 3652) is covered for work on this project under WBS 270.44. Any issues with funding please notify METS Rep. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/28/2019) |
Sample Information
| Sample Taken Date | 12/16/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/06/2020 | Sample type | Department Acceptance |
| A brief description of the sample | 1x8x12 Bearing Pad | The quantity of what the sample constitutes | 32 |
| From where was the sample collected | Source | First name of sampler or witnessed by | Kevin |
| Last name of sampler or witnessed by | Muser | Title of sampler | QA |
| Telephone number of sampler | 9165170532 | 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 | S19-450-19 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 18465-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | 55 Duo | Samples Representing | 32 |
| Description (size) | 1x8x12 | Comments | |
| Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | 18465-1 |
Test Details
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DIME Sample ID: 2019-12-16-1
DIME Test ID: 2019-12-16-1-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-01-08
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 01/08/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/8/2020 ✔