Summary for Test 2017-03-13-5-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211794 DEA: 044G5104 EFIS: 0412000483 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-31.4,32.6 |
| Award Date | 01/20/2017 |
| Closeout Date | 09/12/2019 |
| Work Description | BRIDGE CONSTRUCTION |
| Location Description | SOLANO COUNTY IN AND NEAR VACAVILLE AT MERIDIAN ROAD OVERCROSSING AND AT MIDWAY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 01/03/2017) |
Sample Information
| Sample Taken Date | 03/13/2017 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/03/2017 |
| 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 | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Dynamic Rubber | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | CR55-003-17 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 12 |
| Description (size) | 2.30" x 12" x 18" | Comments | Unknown |
| Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | NA |
Test Details
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DIME Sample ID: 2017-03-13-5
DIME Test ID: 2017-03-13-5-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-04-18
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 04/07/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/11/2017 ✔