Summary for Test 2023-08-31-50-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 214830 DEA: 043G6304 EFIS: 0412000409 |
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DIST-CO-RTE-PM | 04-SCL-4-SCl-9 -4.75/4.9 |
Award Date | 11/08/2022 |
Closeout Date | Not set |
Work Description | Saratoga Creek Bridge Rehabilitation Project |
Location Description | San Jose - Saratoga Creek |
QA Service Level | 1 (Verified on 11/09/2020) |
Sample Information
Sample Taken Date | 08/31/2023 | Sample Unique Key | 50 |
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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 | 09/11/2023 |
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 | William | Last name of sampler or witnessed by | Shanklin |
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) | 23243-4 |
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Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
Description (size) | 1" x 6" x 7" | Comments | |
Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
Description (Thickness of Shims) | NA | Manufacturer(s) | Scougal Rubber |
Batch Number | NA |
Test Details
DIME Sample ID: 2023-08-31-50
DIME Test ID: 2023-08-31-50-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2023-09-22
Test Results
Input Type: Measured
Tester's full name: Adam-Anthony Herrera
Date of test: 09/22/2023
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 9/22/2023 ✔