Summary for Test 2020-11-18-29-1
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214114 DEA: 040A5394 EFIS: 0418000244 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80,12-11.4/12.8, 2.1/2.8 |
| Award Date | Not set |
| Closeout Date | 02/24/2023 |
| Work Description | Widen EB SR-12 Connector, Construct 3 ramps & 2 box girder bridges, remove existing bridge, etc. |
| Location Description | I-80/I-680/Route 12 Interchange |
| QA Service Level | 1 (Verified on 04/23/2019) |
Sample Information
| Sample Taken Date | 11/18/2020 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 11/30/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kayla | Last name of sampler or witnessed by | Wallace |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dynamic 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) | CR55-028-20 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 93 |
| Description (size) | 1"x4"x6" | Comments | |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | Dynamic Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2020-11-18-29
DIME Test ID: 2020-11-18-29-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-12-10
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 12/10/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 12/10/2020 ✔