Summary for Test 2022-08-12-30-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993779 DEA: 051K7204 EFIS: 0519000001 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-41-3.1 |
| Award Date | 06/30/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT SOLDIER PILE RETAINING WALL. |
| Location Description | SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT 3.1 MILES NORTH OF ROUTE 1/41 SEPARATION |
| QA Service Level | 1 (Verified on 05/02/2022) |
Sample Information
| Sample Taken Date | 08/12/2022 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 08/16/2022 |
| 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 | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | GRT Rubber TEchnologies | 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) | BP065236D |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 1x12x12 | Comments | |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | GRT Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2022-08-12-30
DIME Test ID: 2022-08-12-30-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-08-24
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 08/24/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/24/2022 ✔