Summary for Test 2019-01-02-1-1
Test performed: SMTL BILST-06Project Information
| Project Identifiers | DEA: No Project |
|---|---|
| DIST-CO-RTE-PM | --- |
| Award Date | Not set |
| Closeout Date | 11/01/2022 |
| Work Description | Special project identifier for material not associated with a project |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 01/02/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 01/08/2019 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" Bearing pad Neoprene |
| The quantity of what the sample constitutes | 1 Lot, A, B C & D production dates | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Stacey | Last name of sampler or witnessed by | Davis |
| Title of sampler | QAI | Telephone number of sampler | 925 212-1984 |
| Laboratory sample identification | Production Code 41-1200-12 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | GRT Rubber TEchnologies | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B362-001-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | A B C D |
|---|---|---|---|
| Material/Compound/Elastomer ID | Neporene | Samples Representing | 4 production dates |
| Description (size) | .5 | Comments | Sampled from Lot C |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | GRT |
| Batch Number | BP054012 |
Test Details
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DIME Sample ID: 2019-01-02-1
DIME Test ID: 2019-01-02-1-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-01-08
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 01/08/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/8/2019 ✔