DIME - Test Summary

Summary for Test 2022-09-09-8-4

Test performed: SMTL BILST-06

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 Taken Date	09/09/2022	Sample Unique Key	8
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	09/09/2022
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	Supplier
First name of sampler or witnessed by	Jason	Last name of sampler or witnessed by	Gramlick
Title of sampler		Telephone number of sampler	5104537830
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	B-3-900-22	Structure unique identifier
Structure name

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	BP06428K
Material/Compound/Elastomer ID	00000	Samples Representing	1
Description (size)	.250x12x12	Comments
Description (Number of Shims)	0	Type of Bearing Pad	Plain
Description (Thickness of Shims)	NA	Manufacturer(s)	GRT Rubber
Batch Number	41-1256-20

DIME Sample ID: 2022-09-09-8

DIME Test ID: 2022-09-09-8-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test

Test Release Date: 2022-10-06

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 10/06/2022

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/6/2022 ✔