Summary for Test 2017-05-26-4-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 211774 DEA: 010B5404 EFIS: 0112000136 |
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DIST-CO-RTE-PM | 01-MEN-162-13.9,22.7 |
Award Date | 01/24/2017 |
Closeout Date | 10/30/2017 |
Work Description | REPAIR ROADWAY AND CONSTRUCT WALL |
Location Description | MENDOCINO COUNTY NEAR DOS RIOS AT 1.2 MILES WEST OF MIDDLE FORK EEL RIVER BRIDGE AND AT 2.8 MILES EAST OF SAND BANK CREEK |
QA Service Level | 1 (Verified on 09/27/2016) |
Sample Information
Sample Taken Date | 05/26/2017 | Sample Unique Key | 4 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/05/2017 |
Sample type | Acceptance | A brief description of the sample | 1x8x10 Beraing Pad |
The quantity of what the sample constitutes | 24 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
Title of sampler | QA | Telephone number of sampler | 916-799-3391 |
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 | S19-182-17 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15637 |
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Material/Compound/Elastomer ID | CP2527V CP2628A RS 7030 | Samples Representing | 24 |
Description (size) | 1 x 8 x 10 | Comments | |
Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | 0 |
Test Details
DIME Sample ID: 2017-05-26-4
DIME Test ID: 2017-05-26-4-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-06-19
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 06/07/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/12/2017 ✔