Summary for Test 2021-04-06-31-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 |
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DIST-CO-RTE-PM | 05-SB-101,135-70.6/71.2;0.1 |
Award Date | 11/17/2020 |
Closeout Date | 01/11/2024 |
Work Description | CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA. |
Location Description | SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION |
QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
Sample Taken Date | 04/06/2021 | Sample Unique Key | 31 |
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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 | 04/12/2021 |
Sample type | Quality Assurance | A brief description of the sample | bearing pad |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Streeter |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 19601-2 |
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Material/Compound/Elastomer ID | na | Samples Representing | 60 |
Description (size) | 2.88"x12"x12" | Comments | |
Description (Number of Shims) | 5 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2021-04-06-31
DIME Test ID: 2021-04-06-31-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-04-14
Test Results
Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 04/14/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/14/2021 ✔