Summary for Test 2023-04-14-35-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 215823 DEA: 101H5004 EFIS: 1017000154 |
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DIST-CO-RTE-PM | 10-CAL-4-15.9/16.3 |
Award Date | 11/18/2022 |
Closeout Date | Not set |
Work Description | REPLACE BRIDGE |
Location Description | CALAVERAS COUNTY NEAR ANGELS CAMP FROM 0.3 MILE WEST OF CHEROKEE CREEK BRIDGE TO 0.1 MILE EAST OF CHEROKEE BRIDGE |
QA Service Level | 1 (Verified on 07/23/2021) |
Sample Information
Sample Taken Date | 04/14/2023 | Sample Unique Key | 35 |
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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 | 04/17/2023 |
Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
The quantity of what the sample constitutes | 12 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Krishnamoorthy | 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 Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 2527-5 |
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Material/Compound/Elastomer ID | NA | Samples Representing | 12 |
Description (size) | 2" x 12" x 12" | Comments | |
Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Bridge Rubber Bearing |
Batch Number | 132252 |
Test Details
DIME Sample ID: 2023-04-14-35
DIME Test ID: 2023-04-14-35-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-04-28
Test Results
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 ✔