DIME - Test Summary

Summary for Test 2018-05-14-11-4

Test performed: SMTL BILST-06

Project Identifiers	DEA: No Project
DIST-CO-RTE-PM	---
Award Date	Not set
Closeout Date	11/01/2022
Work Description	Special project identifier for material not associated with a project
Location Description	Not set
QA Service Level	NOT VERIFIED

Sample Taken Date	05/14/2018	Sample Unique Key	11
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	05/14/2018
Sample type	Quality Assurance	A brief description of the sample	.25in Bearing Pad Roll Stock
The quantity of what the sample constitutes	1	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Christy	Last name of sampler or witnessed by	Stockton
Title of sampler	Unknown	Telephone number of sampler	Unknown
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	Unknown	Structure unique identifier	Not set
Structure name	Not set

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	1609785
Material/Compound/Elastomer ID	Unknown	Samples Representing	1
Description (size)	.25in x 12in x 12in	Comments	Unknown
Description (Number of Shims)	0	Type of Bearing Pad	Plain
Description (Thickness of Shims)	NA	Manufacturer(s)	Scougal Rubber
Batch Number	Unknown

DIME Sample ID: 2018-05-14-11

DIME Test ID: 2018-05-14-11-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test

Test Release Date: 2018-05-28

Input Type: Measured

Tester's full name: Lisa Dobeck

Date of test: 05/21/2018

Result: Pass

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/21/2018 ✔