Summary for Test 2019-12-23-11-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213856 DEA: 112888U4 EFIS: 1118000199 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-11,125,905-Various |
| Award Date | 05/09/2019 |
| Closeout Date | 09/14/2023 |
| Work Description | CONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY |
| Location Description | SAN DIEGO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 12/23/2019 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 01/06/2020 |
| Sample type | Quality Assurance | A brief description of the sample | elastomeric bearing pad |
| The quantity of what the sample constitutes | 7 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kayla | Last name of sampler or witnessed by | Wallace |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dynamic 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) | 15570D, 15570E, 15570C, 15570F, V |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 7 |
| Description (size) | 2.88x21x22 | Comments | Unknown |
| Description (Number of Shims) | 5 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2019-12-23-11
DIME Test ID: 2019-12-23-11-4
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 ✔