Summary for Test 2020-08-10-9-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 212657 DEA: 024G5004 EFIS: 0214000031 |
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DIST-CO-RTE-PM | 02-TRI-299-1.9-2.3 |
Award Date | 10/01/2019 |
Closeout Date | 11/24/2021 |
Work Description | VIADUCT WIDENING |
Location Description | TRINITY COUNTY NEAR SALYER FROM 0.1 MILE EAST TO 0.6 MILE EAST OF WHITE HOUSE GULCH ROAD |
QA Service Level | 1 (Verified on 09/04/2018) |
Sample Information
Sample Taken Date | 08/10/2020 | Sample Unique Key | 9 |
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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 | 08/10/2020 |
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 | Brad | Last name of sampler or witnessed by | Streeter |
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) | 18817-4R |
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Material/Compound/Elastomer ID | na | Samples Representing | 7 |
Description (size) | 2"x12"x12" | Comments | |
Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2020-08-10-9
DIME Test ID: 2020-08-10-9-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-08-11
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 08/11/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/11/2020 ✔