Summary for Test 2019-12-26-3-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 213749
DEA: 120C1104
EFIS: 1200000633
DIST-CO-RTE-PM12-ORA-57-20.3/21.6
Award Date04/19/2019
Closeout DateNot set
Work DescriptionSR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING
QA Service Level1 (Verified on 05/31/2019)

Sample Information

Sample Taken Date12/26/2019 Sample Unique Key3
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 testing01/06/2020
Sample typeQuality Assurance A brief description of the sampleelastomeric bearing pad
The quantity of what the sample constitutes11 From where was the sample collectedManufacturer
First name of sampler or witnessed byHoward Last name of sampler or witnessed bySternberg
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameScougal 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)18009-2
Material/Compound/Elastomer IDna Samples Representing11
Description (size)3x20x20 CommentsUnknown
Description (Number of Shims)6 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna

Test Details

DIME Sample ID: 2019-12-26-3
DIME Test ID: 2019-12-26-3-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-01-08

Test Results


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