Summary for Test 2022-10-27-47-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 215697 DEA: 07318204 EFIS: 0715000286 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-Route 1-4.0/4.2 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CM/GC Project - Work consists of constructing secant wall and slope restoration |
| Location Description | near Point Mugu State Park 0.4 mile South of Sycamore Canyon Road. |
| QA Service Level | 1 (Verified on 08/26/2021) |
Sample Information
| Sample Taken Date | 10/27/2022 | Sample Unique Key | 47 |
|---|---|---|---|
| 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 | 11/02/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 7 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Streeter |
| 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) | L031122 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 7 |
| Description (size) | 1X4X6 | Comments | |
| Description (Number of Shims) | 2 | 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: 2022-10-27-47
DIME Test ID: 2022-10-27-47-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2022-11-08
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 11/08/2022
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/8/2022 ✔