Summary for Test 2021-06-25-2-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 212775 DEA: 024F2204 EFIS: 0212000073 |
---|---|
DIST-CO-RTE-PM | 02-TRI-3-58.7/61.9 |
Award Date | 02/25/2021 |
Closeout Date | Not set |
Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE AND CULVERTS AND PLACE HMA. |
Location Description | TRINITY COUNTY NEAR TRINITY CENTER FROM 58.7 MILES NORTH OF PREACHER MEADOWS ROAD TO 60.7 MILES SOUTH OF EL DORADO WAY |
QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
Sample Taken Date | 06/25/2021 | Sample Unique Key | 2 |
---|---|---|---|
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 | 06/30/2021 |
Sample type | Quality Assurance | A brief description of the sample | bearing pad |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Kayla | Last name of sampler or witnessed by | Wallace |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Dynamic 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) | CR55-004-21 |
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Material/Compound/Elastomer ID | na | Samples Representing | 11 |
Description (size) | .5"x12"x24" | Comments | |
Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
Description (Thickness of Shims) | NA | Manufacturer(s) | Dynamic Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2021-06-25-2
DIME Test ID: 2021-06-25-2-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-07-02
Test Results
Input Type: Measured
Tester's full name: Yared Melketsadik
Date of test: 07/02/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/2/2021 ✔