Summary for Test 2022-09-29-32-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 993495 DEA: 120S2104 EFIS: 1219000106 |
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DIST-CO-RTE-PM | 12-ORA-5-R24.0/37.7 |
Award Date | 03/07/2022 |
Closeout Date | 11/29/2022 |
Work Description | APPLY METHACRYLATE TREATMENT AND REPLACE JOINT SEALS AND BEARING PADS. |
Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM S5-N133 CONNECTOR SEPARATION IN IRVINE TO BALL ROAD OVERCROSSING IN ANAHEIM |
QA Service Level | 1 (Verified on 01/24/2022) |
Sample Information
Sample Taken Date | 09/29/2022 | Sample Unique Key | 32 |
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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 | 10/03/2022 |
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) | 21693-1 |
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Material/Compound/Elastomer ID | na | Samples Representing | 1 |
Description (size) | 3.45"x16"x24" | Comments | |
Description (Number of Shims) | 6 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2022-09-29-32
DIME Test ID: 2022-09-29-32-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-10-14
Test Results
Input Type: Measured
Tester's full name: Kirolos Kelada
Date of test: 10/14/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/14/2022 ✔