Summary for Test 2020-01-17-2-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 214392 DEA: 100H4804 EFIS: 1012000193 |
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DIST-CO-RTE-PM | 10-STA-108-33.1/33.4 |
Award Date | 11/13/2019 |
Closeout Date | 03/08/2021 |
Work Description | COLD PLANE AC SURFACING, HMA (TYPE A) RESURFACING, AND BRIDGE REPAIR. |
Location Description | STANISLAUS COUNTY IN RIVERBANK FROM 0.1 MILE WEST OF EIGHTH STREET TO 0.1 MILE EAST OF CLAUS ROAD |
QA Service Level | 1 (Verified on 09/13/2019) |
Sample Information
Sample Taken Date | 01/17/2020 | Sample Unique Key | 2 |
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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 | 01/21/2020 |
Sample type | Quality Assurance | A brief description of the sample | elastomeric bearing pad |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Howard | Last name of sampler or witnessed by | Sternberg |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Scougal Rubber | 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) | 18496-1 |
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Material/Compound/Elastomer ID | na | Samples Representing | 7 |
Description (size) | 3x10x12 | Comments | Unknown |
Description (Number of Shims) | 6 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2020-01-17-2
DIME Test ID: 2020-01-17-2-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-01-24
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 01/24/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 1/24/2020 ✔