Summary for Test 2016-12-08-2-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 210794 DEA: 062HT104 EFIS: 0612000287 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-99-23.5/26.7 |
| Award Date | 06/30/2016 |
| Closeout Date | 09/16/2020 |
| Work Description | (Alternative Delivery) Realign Freeway CONTACT SMR PRIOR TO PERFORMING ANY TESTING OR INSPECTION. CMGC PROJECT. Realign Route 99 between Ashlan Avenue and Olive Avenue to accommodate the High Speed Train (HST). |
| Location Description | State Highway 99 in Fresno (Fresno County) from 0.2 miles North of Olive Ave over-crossing to 0.2 miles North of Ashlan Ave over-crossing. |
| QA Service Level | 1 (Verified on 10/01/2015) |
Sample Information
| Sample Taken Date | 12/08/2016 | 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 | 12/12/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 9 | 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 | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15315-1, 2, 3, 4, 5, 6, 7, 8, 9 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 200 |
| Description (size) | 4.6" x 15" x 20" Various sizes | Comments | Unknown |
| Description (Number of Shims) | 8 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2016-12-08-2
DIME Test ID: 2016-12-08-2-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-12-26
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 12/15/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/19/2016 ✔