DIME - Test Summary

Summary for Test 2019-12-26-2-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625
DIST-CO-RTE-PM	08-RIV-15-34.7/51.6
Award Date	04/17/2017
Closeout Date	08/01/2024
Work Description	(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location Description	Riverside County and SBD-15-0.0/1.3
QA Service Level	1 (Verified on 05/08/2017)

Sample Taken Date	12/26/2019	Sample Unique Key	2
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	9
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Howard
Last name of sampler or witnessed by	Sternberg	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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	18440-1
Material/Compound/Elastomer ID	na	Samples Representing	9
Description (size)	3x14x18	Comments	Unknown
Description (Number of Shims)	6	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2019-12-26-2

DIME Test ID: 2019-12-26-2-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2020-01-08

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 ✔