Summary for Test 2017-07-31-5-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 211778 DEA: 04235654 EFIS: 0400000680 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,114-1.3/2.5,5.0/5.3 |
| Award Date | 02/10/2017 |
| Closeout Date | 01/08/2020 |
| Work Description | RECONSTRUCT INTERCHANGE |
| Location Description | SAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET |
| QA Service Level | 1 (Verified on 10/24/2016) |
Sample Information
| Sample Taken Date | 07/31/2017 | 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 | 08/11/2017 |
| Sample type | Quality Assurance | A brief description of the sample | 1x4x6 Elastomeric Bearing pad |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Scott | Last name of sampler or witnessed by | Leavitt |
| Title of sampler | QA Inspector | Telephone number of sampler | 5105900116 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Scougal Rubber | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S28-202-17 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 15708-1, 5, 6, 7 |
|---|---|---|---|
| Material/Compound/Elastomer ID | CP2527V55DURO | Samples Representing | 500 |
| Description (size) | .75x4x6 1x4x6 3.5x15x18 | Comments | Unknown |
| Description (Number of Shims) | 2 8 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | Unknown |
Test Details
Test Details QR Code
Scan this code to open this Test Details view on another device.
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
DIME Sample ID: 2017-07-31-5
DIME Test ID: 2017-07-31-5-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-08-23
Test Results
Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 08/16/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/16/2017 ✔