Summary for Test 2019-06-06-11-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 213750
DEA: 120K0224
EFIS: 1214000097
DIST-CO-RTE-PM12-ORA-5-14.5/17.1
Award Date03/05/2019
Closeout DateNot set
Work DescriptionSouth County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 04/15/2019)

Sample Information

Sample Taken Date06/06/2019 Sample Unique Key11
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 testing06/12/2019
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byKayla Last name of sampler or witnessed byWallace
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDynamic Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15460
Material/Compound/Elastomer IDna Samples Representing144
Description (size)5.18"x18"x18" 4.60"x18"x18" 2.30"x12x12"" CommentsCR55 007 19 CR55 008 19 CR55 012 19
Description (Number of Shims)9 4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Dynamic Rubber
Batch Numberna

Test Details

DIME Sample ID: 2019-06-06-11
DIME Test ID: 2019-06-06-11-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-06-14

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 06/14/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/14/2019