Summary for Test 2018-02-20-1-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 209694
DEA: 080J0704
EFIS: 0800000282
DIST-CO-RTE-PM08-SBD-215-0.6/1.7
Award Date10/17/2017
Closeout Date04/23/2020
Work Description(Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA.
Location DescriptionGrade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60.
QA Service Level1 (Verified on 12/11/2017)

Sample Information

Sample Taken Date02/20/2018 Sample Unique Key1
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 testing02/21/2018
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byPete Last name of sampler or witnessed byEtcheverry
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)16313-1
Material/Compound/Elastomer IDNA Samples RepresentingNA
Description (size)3"x16"x16" CommentsUnknown
Description (Number of Shims)6 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA

Test Details

DIME Sample ID: 2018-02-20-1
DIME Test ID: 2018-02-20-1-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-03-01

Test Results


Input Type: Measured
Tester's full name: Lisa Dobeck
Date of test: 02/22/2018
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/22/2018