Summary for Test 2019-11-22-10-1
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
| Award Date | 05/01/2019 |
| Closeout Date | 02/22/2024 |
| Work Description | Not set |
| Location Description | Construction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct |
| QA Service Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 11/22/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 11/26/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 10 | 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 | 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) | 101419 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 465 |
| Description (size) | 4.6x14x14 1.15x4x6 | Comments | Unknown |
| Description (Number of Shims) | 8 2 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Scougal Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2019-11-22-10
DIME Test ID: 2019-11-22-10-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-11-27
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 11/27/2019
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 11/27/2019 ✔