DIME - Test Summary

Summary for Test 2023-04-14-34-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 994326 DEA: 051C3604 EFIS: 0512000134
DIST-CO-RTE-PM	05-SB-217-0.9/1.4
Award Date	01/31/2023
Closeout Date	Not set
Work Description	REPLACE BRIDGE.
Location Description	SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
QA Service Level	1 (Verified on 10/17/2022)

Sample Taken Date	04/14/2023	Sample Unique Key	34
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	04/17/2023
Sample type	Quality Assurance	A brief description of the sample	Bearing Pad
The quantity of what the sample constitutes	24	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Krishamorthy	Last name of sampler or witnessed by	Palaniappan
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Bridge Rubber Bearing	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	2527-6
Material/Compound/Elastomer ID	NA	Samples Representing	24
Description (size)	3.45" x 16" x 16"	Comments
Description (Number of Shims)	6	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Bridge Rubber Bearing
Batch Number	132252

DIME Sample ID: 2023-04-14-34

DIME Test ID: 2023-04-14-34-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2023-04-28

Input Type: Measured

Tester's full name: Kirolos Kelada

Date of test: 04/28/2023

Result: Pass

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

Test was verified on 4/28/2023 ✔