Summary for Test 2020-05-08-12-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213958 DEA: 010F9604 EFIS: 0116000109 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-124.5 |
| Award Date | 11/06/2019 |
| Closeout Date | 11/23/2021 |
| Work Description | LITTLE LOST MAN FISH PASSAGE |
| Location Description | HUMBOLDT COUNTY NEAR ORICK 0.2 MILE SOUTH OF LOST MAN CREEK BRIDGE |
| QA Service Level | 1 (Verified on 06/24/2019) |
Sample Information
| Sample Taken Date | 05/08/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 05/13/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 1 | 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) | CR55-007-20 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 31 |
| Description (size) | 2.88"x14"x14" | 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: 2020-05-08-12
DIME Test ID: 2020-05-08-12-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-05-14
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 05/14/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/14/2020 ✔