Print Report | Back to Test Summary

Testing Report for 2021-07-19-32-4

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

DEA: 112N0534
EFIS: 1118000264
Project ID: 215353
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5,8,15,52,56,etc.-Various
Work Description: APPLY METHACRYLATE ON DECKS, REPLACE APPROACH SLABS AND JOINT SEALS.
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: David Toci
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-07-19-32
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 7/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 7/26/2021
The quantity of what the sample constitutes: 1
A brief description of the sample: bearing pad
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DS Brown Seismic Energy

Material Information

Mfg. Lot Number(s): 4001953-1A
Material/Compound/Elastomer ID: na
Samples Representing: 6
Description (size): 4.6"x12"x20"
Comments:
Description (Number of Shims): 8
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): DS Brown
Batch Number: na

Test Information

DIME Test ID: 2021-07-19-32-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Date Tested: 8/4/2021
Verified Date: 8/4/2021
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: lisa.dobeck@dot.ca.gov
Organization Phone: (916) 227-7919
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Result: Pass