Summary for Test 2023-08-29-63-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 994646 DEA: 043Q5804 EFIS: 0419000226 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-12,37,80,505,680,780-VAR |
| Award Date | 06/29/2023 |
| Closeout Date | 03/27/2024 |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY AND CONSTRUCT APPROACH SLAB. |
| Location Description | SOLANO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 04/11/2023) |
Sample Information
| Sample Taken Date | 08/29/2023 | Sample Unique Key | 63 |
|---|---|---|---|
| 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 | 09/13/2023 |
| 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 | Kayla | Last name of sampler or witnessed by | Wallace |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dynamic 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) | CR55-005-B |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 13 |
| Description (size) | 4.60"x18"x20" | Comments | |
| Description (Number of Shims) | 8 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | 288 |
Test Details
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DIME Sample ID: 2023-08-29-63
DIME Test ID: 2023-08-29-63-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-09-15
Test Results
Input Type: Measured
Tester's full name: Adam-Anthony Herrera
Date of test: 09/15/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 9/15/2023 ✔