Summary for Test 2016-06-21-11-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 210040 DEA: 04297624 EFIS: 0400020581 COOP: 042558 |
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DIST-CO-RTE-PM | 04-ALA-84-22.9/25.7 |
Award Date | 09/30/2015 |
Closeout Date | 03/12/2020 |
Work Description | WIDENING AND EXPRESSWAY UPGRADES |
Location Description | ON ROUTE 84, FROM RUBY HILL DRIVE TO NORTH OF CONCANNON BOULEVARD |
QA Service Level | 1 (Verified on 11/10/2015) |
Sample Information
Sample Taken Date | 06/21/2016 | Sample Unique Key | 11 |
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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 | 06/23/2016 |
Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
The quantity of what the sample constitutes | 5 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Corey | Last name of sampler or witnessed by | Nishioku |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 14476 A B |
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Material/Compound/Elastomer ID | NA | Samples Representing | 5 |
Description (size) | 2in x 16in x 18in | Comments | Unknown |
Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal |
Batch Number | NA |
Test Details
DIME Sample ID: 2016-06-21-11
DIME Test ID: 2016-06-21-11-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-07-07
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 07/05/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/7/2016 ✔