DIME - Test Summary

Summary for Test 2019-12-23-11-4

Test performed: SMTL BILST-06

Project Identifiers	Project ID: 213856 DEA: 112888U4 EFIS: 1118000199
DIST-CO-RTE-PM	11-SD-11,125,905-Various
Award Date	05/09/2019
Closeout Date	09/14/2023
Work Description	CONSTRUCT FREEWAY TO FREEWAY CONNECTORS AND 4-LANE HIGHWAY FACILITY
Location Description	SAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level	1 (Verified on 07/19/2019)

Sample Taken Date	12/23/2019	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	01/06/2020
Sample type	Quality Assurance	A brief description of the sample	elastomeric bearing pad
The quantity of what the sample constitutes	7	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Kayla	Last name of sampler or witnessed by	Wallace
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Dynamic Rubber	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	SMTL TM1 - Elastomeric Bearing Pad	Mfg. Lot Number(s)	15570D, 15570E, 15570C, 15570F, V
Material/Compound/Elastomer ID	na	Samples Representing	7
Description (size)	2.88x21x22	Comments	Unknown
Description (Number of Shims)	5	Type of Bearing Pad	Steel
Description (Thickness of Shims)	14 gage	Manufacturer(s)	Dynamic Rubber
Batch Number	na

DIME Sample ID: 2019-12-23-11

DIME Test ID: 2019-12-23-11-4

Testing Lab: CT HQ - Sacramento Chemistry Laboratory

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

Test Release Date: 2020-01-08

Input Type: Calculated

Tester's full name: Mariano Pontillas

Date of test: 01/08/2020

Result: Pass

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

Test was verified on 1/8/2020 ✔