Summary for Test 2017-06-21-3-4
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 211162 DEA: 044G4504 EFIS: 0412000477 |
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DIST-CO-RTE-PM | 04-SOL-780-7.07 |
Award Date | 02/01/2017 |
Closeout Date | 11/15/2019 |
Work Description | REPLACE BRIDGE TO PROVIDE STANDARD VERTICAL CLEARANCE |
Location Description | LAUREL STREET OC |
QA Service Level | 1 (Verified on 05/20/2016) |
Sample Information
Sample Taken Date | 06/21/2017 | Sample Unique Key | 3 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/29/2017 |
Sample type | Department Acceptance | A brief description of the sample | 12x18x2 |
The quantity of what the sample constitutes | 11 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
Title of sampler | Qa | Telephone number of sampler | 9165170532 |
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 | S19-350-17 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15692 |
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Material/Compound/Elastomer ID | Cp2527vcp2628ars703055duro | Samples Representing | 11 |
Description (size) | 18x12x2 | Comments | |
Description (Number of Shims) | 4 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal |
Batch Number | 15692 |
Test Details
DIME Sample ID: 2017-06-21-3
DIME Test ID: 2017-06-21-3-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-07-13
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 07/06/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 7/6/2017 ✔