Summary for Test 2019-12-10-18-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date12/10/2019 Sample Unique Key18
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 testing12/18/2019
Sample typeQuality Assurance A brief description of the sampleelastomeric bearing pad
The quantity of what the sample constitutes4 From where was the sample collectedManufacturer
First name of sampler or witnessed byIsmail Last name of sampler or witnessed byIbrahim
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)17783
Material/Compound/Elastomer IDna Samples Representing150
Description (size)2.87x14x144.02x14x145.17x14x146.9x24x24 CommentsUnknown
Description (Number of Shims)5 7 9 12 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna

Test Details

DIME Sample ID: 2019-12-10-18
DIME Test ID: 2019-12-10-18-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-12-19

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 12/19/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/19/2019