Summary for Test 2020-06-03-6-1
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213682 DEA: 11430184 EFIS: 1117000215 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-8.4/8.8 |
| Award Date | 12/13/2018 |
| Closeout Date | 09/14/2023 |
| Work Description | Bridge widening, HMA, barrier, drainage, RCP, and landscape work near Sweetwater River Bridge in Chula Vista. Widening of Sweetwater River Bridge in Chula Vista on 805. |
| Location Description | Near Sweetwater River Bridge in Chula Vista on 805. |
| QA Service Level | 1 (Verified on 06/01/2020) |
Sample Information
| Sample Taken Date | 06/03/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 06/08/2020 |
| 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 | Ismail | Last name of sampler or witnessed by | IBRAHIM |
| 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) | 18867-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 5 |
| Description (size) | 3"x12"x26" | Comments | Unknown |
| Description (Number of Shims) | 5 | 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: 2020-06-03-6
DIME Test ID: 2020-06-03-6-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-06-09
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 06/09/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 6/9/2020 ✔