Summary for Test 2021-08-30-27-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 215516 DEA: 042Q0604 EFIS: 0418000414 |
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DIST-CO-RTE-PM | 04-SCL-17,101,237,280,880-var |
Award Date | 04/20/2021 |
Closeout Date | 03/27/2023 |
Work Description | PLACE POLYESTER CONCRETE OVERLAY, PLACE HMA, AND REPLACE ACCESS DOORS. |
Location Description | SANTA CLARA COUNTY AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 03/02/2021) |
Sample Information
Sample Taken Date | 08/30/2021 | Sample Unique Key | 27 |
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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 | 09/03/2021 |
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 | Patrick | Last name of sampler or witnessed by | Loomis |
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) | 20482-1 |
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Material/Compound/Elastomer ID | na | Samples Representing | 11 |
Description (size) | 1.15"x10"x10" | Comments | |
Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2021-08-30-27
DIME Test ID: 2021-08-30-27-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-09-13
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 09/13/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 9/13/2021 ✔