Summary for Test 2020-05-22-6-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-R36.9/47.7 |
| Award Date | 01/16/2019 |
| Closeout Date | 01/11/2024 |
| Work Description | CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER |
| Location Description | MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE |
| QA Service Level | 1 (Verified on 10/11/2018) |
Sample Information
| Sample Taken Date | 05/22/2020 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 05/26/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Bearing Pad |
| The quantity of what the sample constitutes | 32 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brad | Last name of sampler or witnessed by | Streeter |
| 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) | 18736-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | NA | Samples Representing | 1 |
| Description (size) | 1.5 x 12 x 18 | Comments | Unknown |
| Description (Number of Shims) | 3 | 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: 2020-05-22-6
DIME Test ID: 2020-05-22-6-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-05-27
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 05/27/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 5/27/2020 ✔