Summary for Test 2020-12-01-18-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 214909
DEA: 120N8604
EFIS: 1214000123
DIST-CO-RTE-PM12-ORA-73-23.7/24.1
Award Date06/25/2020
Closeout DateNot set
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA.
Location DescriptionORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE
QA Service Level1 (Verified on 07/21/2020)

Sample Information

Sample Taken Date12/01/2020 Sample Unique Key18
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 testing12/30/2020
Sample typeQuality Assurance A brief description of the samplebearing pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byMike Last name of sampler or witnessed bySpellman
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDS Brown Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)4001677-1A
Material/Compound/Elastomer IDna Samples Representing5
Description (size)5.747 x 16" x 16" Comments
Description (Number of Shims)10 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)DS Brown
Batch Numberna

Test Details

DIME Sample ID: 2020-12-01-18
DIME Test ID: 2020-12-01-18-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-01-06

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 01/06/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/6/2021