Summary for Test 2020-01-17-3-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214394 DEA: 101C8604 EFIS: 1016000023 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-4-R16.8/R17.4 |
| Award Date | 10/28/2019 |
| Closeout Date | 07/15/2021 |
| Work Description | REPAIR BRIDGE HINGE. |
| Location Description | SAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF MADISION STREET TO 0.2 MILE WEST OF AIRPORTWAY UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/13/2019) |
Sample Information
| Sample Taken Date | 01/17/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 01/21/2020 |
| Sample type | Quality Assurance | A brief description of the sample | elastomeric bearing pad |
| The quantity of what the sample constitutes | 1 | 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) | 18508-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 27 |
| Description (size) | 3.5x12x14 | Comments | Unknown |
| Description (Number of Shims) | 7 | 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: 2020-01-17-3
DIME Test ID: 2020-01-17-3-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-01-24
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 01/24/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/24/2020 ✔