Summary for Test 2019-12-26-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213749 DEA: 120C1104 EFIS: 1200000633 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-20.3/21.6 |
| Award Date | 04/19/2019 |
| Closeout Date | 05/28/2024 |
| Work Description | SR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
| Sample Taken Date | 12/26/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 11 |
| 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 Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 18009-2 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 11 |
| Description (size) | 3x20x20 | 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 |
Test Details
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DIME Sample ID: 2019-12-26-3
DIME Test ID: 2019-12-26-3-4
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 ✔