Summary for Test 2018-12-10-5-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213266 DEA: 103A1304 EFIS: 1000000412 COOP: 100480 |
|---|---|
| DIST-CO-RTE-PM | 10-MER-140-38.1/38.7 |
| Award Date | 05/01/2018 |
| Closeout Date | 02/10/2021 |
| Work Description | Campus Parkway/SR140 project. Significant work includes CIP P/S bridge, piles, and lighting. |
| Location Description | In Merced County on State Route 140 and the future connector road. |
| QA Service Level | 2 (Verified on 04/04/2018) |
Sample Information
| Sample Taken Date | 12/10/2018 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 12/12/2018 |
| 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 | 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) | 17075-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 19 |
| Description (size) | 4" x 20" x 22" | 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: 2018-12-10-5
DIME Test ID: 2018-12-10-5-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-12-21
Test Results
Input Type: Measured
Tester's full name: Lisa Dobeck
Date of test: 12/14/2018
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/14/2018 ✔