DIME - Test Summary

Summary for Test 2020-10-07-14-1

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 214426 DEA: 030A5704 EFIS: 0300020593
DIST-CO-RTE-PM	03-YUB-20-13.3/R18.2
Award Date	01/02/2020
Closeout Date	07/15/2025
Work Description	Browns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location Description	YUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
QA Service Level	1 (Verified on 10/23/2019)

Sample Taken Date	10/07/2020	Sample Unique Key	14
Date that the sample was received by the laboratory/organization performing the testing	10/14/2020	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 Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	19104-1
Material/Compound/Elastomer ID	na	Samples Representing	13
Description (size)	4.6"x14"x16"	Comments
Description (Number of Shims)	8	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Scougal Rubber
Batch Number	na

DIME Sample ID: 2020-10-07-14

DIME Test ID: 2020-10-07-14-1

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2020-10-15

Input Type: Measured

Tester's full name: Richard Wilmshurst

Date of test: 10/15/2020

Result: Pass

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

Test was verified on 10/15/2020 ✔