Summary for Test 2023-03-08-46-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 994408 DEA: 051K03U4 EFIS: 0522000026 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101- |
| Award Date | 10/04/2022 |
| Closeout Date | Not set |
| Work Description | !!PLEASE CC Office Engineer Barbara Riccardi on reports to RE and SR!! Construct 2 roundabouts in Montecito along US 101. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/29/2022) |
Sample Information
| Sample Taken Date | 03/08/2023 | Sample Unique Key | 46 |
|---|---|---|---|
| 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 | 03/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1.15x4x6" LAM PAD w2 14ga SHIMS |
| The quantity of what the sample constitutes | 9 | 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) | 22802-1-2 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 9 |
| Description (size) | 1.15 x 4 x 6 | 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: 2023-03-08-46
DIME Test ID: 2023-03-08-46-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-03-20
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 03/20/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 3/20/2023 ✔