DIME - Test Summary

Summary for Test 2020-10-22-1-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK
DIST-CO-RTE-PM	59---
Award Date	Not set
Closeout Date	Not set
Work Description	Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	10/22/2020	Sample Unique Key	1
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	10/23/2020
Sample type	Quality Assurance	A brief description of the sample	1/4" x 36" Neoprene bearing pad
The quantity of what the sample constitutes	550 Lft	From where was the sample collected	Distributor
First name of sampler or witnessed by	Kevin	Last name of sampler or witnessed by	Carpenter
Title of sampler	QA Consultant	Telephone number of sampler	415-608-1742
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Cal Neva Supply	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form	B24-049-20	Structure unique identifier
Structure name

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	092320
Material/Compound/Elastomer ID	607271556381	Samples Representing	554
Description (size)	.25X36"	Comments
Description (Number of Shims)	0	Type of Bearing Pad	Plain
Description (Thickness of Shims)	NA	Manufacturer(s)	192320
Batch Number	8168

DIME Sample ID: 2020-10-22-1

DIME Test ID: 2020-10-22-1-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2020-10-27

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 10/27/2020

Result: Pass

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

Test was verified on 10/27/2020 ✔