Summary for Test 2020-04-28-9-1
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214300 DEA: 07343404 EFIS: 0718000018 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-39-31.2 |
| Award Date | 10/30/2019 |
| Closeout Date | 05/06/2024 |
| Work Description | IN LOS ANGELES COUNTY, ON ROUTE 39 AT NORTH FORK SAN GABRIEL RIVER BRIDGE (BR. NO. 53-3069) REPLACE BRIDGE |
| Location Description | IN LOS ANGELES COUNTY ABOUT 19 MILES NORTH OF AZUSA AT NORTH FORK SAN GABRIEL RIVER BRIDGE |
| QA Service Level | 1 (Verified on 12/20/2019) |
Sample Information
| Sample Taken Date | 04/28/2020 | Sample Unique Key | 9 |
|---|---|---|---|
| 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 | 05/05/2020 |
| 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 | 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 Information
| Material Type | SMTL TM1 - Elastomeric Bearing Pad | Mfg. Lot Number(s) | CR55-004-20 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 11 |
| Description (size) | 4.03"x24"x24" | Comments | Unknown |
| Description (Number of Shims) | 7 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | Dynamic Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2020-04-28-9
DIME Test ID: 2020-04-28-9-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-05-06
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 05/06/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/6/2020 ✔