Summary for Test 2019-08-21-8-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212596 DEA: 100L0204 EFIS: 1013000053 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ,STA-99-0.0-0.7:24.4-24.8 |
| Award Date | 11/30/2018 |
| Closeout Date | 07/15/2021 |
| Work Description | Partial Bridge Replacement |
| Location Description | ON ROUTE 99 IN RIPON AT THE COUNTY LINE OF SAN JOAQUIN COUNTY AND STANISLAUS COUNTY AT THE STANISLAUS RIVER BRIDGES (29-0013L/R). |
| QA Service Level | 1 (Verified on 12/19/2018) |
Sample Information
| Sample Taken Date | 08/21/2019 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 08/21/2019 |
| 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 | George | Last name of sampler or witnessed by | Samuel |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brown | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 1057402-2A |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 29 |
| Description (size) | 10" X 10" X 1.149" | Comments | Unknown |
| Description (Number of Shims) | 2 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | DS Brown |
| Batch Number | na |
Test Details
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DIME Sample ID: 2019-08-21-8
DIME Test ID: 2019-08-21-8-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-08-28
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 08/28/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/28/2019 ✔