Summary for Test 2022-09-01-36-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-20-33.3/34.4 |
| Award Date | 05/06/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310) |
| Location Description | MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144 |
| QA Service Level | 1 (Verified on 10/04/2021) |
Sample Information
| Sample Taken Date | 09/01/2022 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 09/08/2022 |
| 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 | Patrick | Last name of sampler or witnessed by | Loomis |
| 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) | 22021-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 5x8x12 | Comments | |
| Description (Number of Shims) | 10 | 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: 2022-09-01-36
DIME Test ID: 2022-09-01-36-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-09-19
Test Results
Input Type: Measured
Tester's full name: Yared Melketsadik
Date of test: 09/19/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 9/19/2022 ✔