Summary for Test 2024-03-27-22-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 993136 DEA: 120Q3904 EFIS: 1217000003 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55-4.7 |
| Award Date | 09/20/2021 |
| Closeout Date | Not set |
| Work Description | RECONSTRUCT REINFORCED STRUCTURAL CONCRETE BRIDGE AND BARRIER. |
| Location Description | ORANGE COUNTY IN COSTA MESA AT ROUTE 55/73 CONNECTOR |
| QA Service Level | 1 (Verified on 07/27/2021) |
Sample Information
| Sample Taken Date | 03/27/2024 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 03/27/2024 |
| Sample type | Quality Assurance | A brief description of the sample | elastomeric bearing pad |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Krishnamporthy | 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) | 2527-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 1 |
| Description (size) | 1 | Comments | |
| Description (Number of Shims) | 2 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | Bridge Rubber Bearing |
| Batch Number | 137716 |
Test Details
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DIME Sample ID: 2024-03-27-22
DIME Test ID: 2024-03-27-22-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2024-04-22
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 04/22/2024
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 4/22/2024 ✔