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Testing Report for 2016-08-12-11-4

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

Project Information

DEA: 010A1004
EFIS: 0112000023
Project ID: 211221
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-VAR
Work Description: BRIDGE SEISMIC RETROFIT AND CLEAN AND PAINT BRIDGE.
Location Description: DEL NORTE COUNTY AT VARIOUS LOCATIONS
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Clayton Malmberg
Structure Rep.: Runnion Josh

Sample Information

DIME Sample ID: 2016-08-12-11
TL Number from the TL Form: C740864
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: 8/12/2016
Date that the sample was received by the laboratory/organization performing the testing: 8/15/2016
The quantity of what the sample constitutes: 1
A brief description of the sample: Bearing Pad
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dynatect

Material Information

Mfg. Lot Number(s): 071916
Material/Compound/Elastomer ID: 340313
Samples Representing: 13
Description (size): 2in x 4in x 6in
Comments: Unknown
Description (Number of Shims): 4
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Dynatect
Batch Number: RL305502

Test Information

DIME Test ID: 2016-08-12-11-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Date Tested: 8/26/2016
Verified Date: 8/31/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Result: Pass