Summary for Test 2019-01-17-3-1
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 212888 DEA: 07202124 EFIS: 0700020870 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-20.9/24.6 |
| Award Date | 02/16/2018 |
| Closeout Date | 05/04/2022 |
| Work Description | PAVEMENT REHABILITATION AND BRIDGE WIDENING |
| Location Description | LOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 03/29/2018) |
Sample Information
| Sample Taken Date | 01/17/2019 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 01/30/2019 |
| 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 | David | Last name of sampler or witnessed by | Simon |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brown | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | C1901-5557-09 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 3 |
| Description (size) | .05 x 24 x 36 | Comments | Unknown |
| Description (Number of Shims) | 0 | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | DS Brown |
| Batch Number | na |
Test Details
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DIME Sample ID: 2019-01-17-3
DIME Test ID: 2019-01-17-3-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-02-05
Test Results
Input Type: Calculated
Tester's full name: Rheanna Andelin
Date of test: 02/05/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 2/5/2019 ✔