Print Report | Back to Test Summary

Testing Report for 2021-08-17-38-4

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

Project Information

DEA: 081C6804
EFIS: 0812000343
Project ID: 215236
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74,79and371-Varies
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGE, RETAINING WALL AND BOX CULVERT.
Location Description: RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nick Truong
Structure Rep.: Arnel L. Vega

Sample Information

DIME Sample ID: 2021-08-17-38
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: 8/17/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/23/2021
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

Material Information

Mfg. Lot Number(s): C2108-5559-28
Material/Compound/Elastomer ID: na
Samples Representing: 29
Description (size): .5"x36"x27.5"
Comments:
Description (Number of Shims): 0
Type of Bearing Pad: Plain
Description (Thickness of Shims): NA
Manufacturer(s): DS Brown
Batch Number: na

Test Information

DIME Test ID: 2021-08-17-38-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Date Tested: 9/1/2021
Verified Date: 9/1/2021
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