DIME - Test Summary

Summary for Test 2020-05-20-10-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 214515 DEA: 024F6004 EFIS: 0213000012
DIST-CO-RTE-PM	02-SIS,TRI-36,96,299-VAR
Award Date	01/14/2020
Closeout Date	08/24/2022
Work Description	BRIDGE DECK REPAIR, POLYESTER OVERLAY AND RAIL REPLACEMENT.
Location Description	SISKIYOU AND TRINITY COUNTIES AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 01/22/2020)

Sample Taken Date	05/20/2020	Sample Unique Key	10
Date that the sample was received by the laboratory/organization performing the testing	05/22/2020	Sample type	Quality Assurance
A brief description of the sample	Bearing Pad	The quantity of what the sample constitutes	24
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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	CR55-008-20
Material/Compound/Elastomer ID	NA	Samples Representing	1
Description (size)	5.18 x 20 x 26	Comments	Unknown
Description (Number of Shims)	6	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Dynamic Rubber
Batch Number	224

DIME Sample ID: 2020-05-20-10

DIME Test ID: 2020-05-20-10-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2020-05-28

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 05/28/2020

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/28/2020 ✔