Summary for Test 2020-04-28-11-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-84.4/84.8 |
| Award Date | 01/29/2020 |
| Closeout Date | 11/22/2023 |
| Work Description | BRIDGE RAIL REPLACEMENT. |
| Location Description | HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE |
| QA Service Level | 1 (Verified on 11/13/2019) |
Sample Information
| Sample Taken Date | 04/28/2020 | Sample Unique Key | 11 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/08/2020 | 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 | Ismail |
| Last name of sampler or witnessed by | IBRAHIM | 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) | 18724-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 19 |
| Description (size) | 1"x16"x16" | Comments | Unknown |
| Description (Number of Shims) | 2 | 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: 2020-04-28-11
DIME Test ID: 2020-04-28-11-4
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 ✔