Summary for Test 2019-08-12-18-5
Test performed: SMTL BILST-06Project Information
Project Identifiers | Project ID: 212501 DEA: 022E4804 EFIS: 0200000586 |
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DIST-CO-RTE-PM | 02-SIS-96,263-103.1/103.6,56.8/57.2 |
Award Date | 12/14/2018 |
Closeout Date | 12/01/2021 |
Work Description | BRIDGE REPLACEMENT |
Location Description | SISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96 |
QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
Sample Taken Date | 08/12/2019 | Sample Unique Key | 18 |
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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 | 08/20/2019 |
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 | Ellen | Last name of sampler or witnessed by | Meaden |
Title of sampler | Telephone number of sampler | ||
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 | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | 17468-1 |
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Material/Compound/Elastomer ID | na | Samples Representing | 11 |
Description (size) | 3.5" x 14" x 14" | Comments | Unknown |
Description (Number of Shims) | 7 | Type of Bearing Pad | Steel |
Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
Batch Number | na |
Test Details
DIME Sample ID: 2019-08-12-18
DIME Test ID: 2019-08-12-18-5
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-08-28
Test Results
Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 08/28/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/28/2019 ✔