Summary for Test 2020-07-30-25-5
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214841 DEA: 034H1004 EFIS: 0318000176 |
|---|---|
| DIST-CO-RTE-PM | 03-SIE-49-9.2/24.7 |
| Award Date | 05/29/2020 |
| Closeout Date | 07/29/2022 |
| Work Description | INSTALL RETAINING STRUCTURE AND RSP CONCRETE EMBANKMENT. |
| Location Description | SIERRA COUNTY ON ROUTE 49 AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/24/2020) |
Sample Information
| Sample Taken Date | 07/30/2020 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 08/07/2020 |
| 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 | Mike | Last name of sampler or witnessed by | Spellman |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DS Brown | 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) | 4001573-3A |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 4 |
| Description (size) | 10"x12"x3.450" | Comments | |
| Description (Number of Shims) | 6 | Type of Bearing Pad | Steel |
| Description (Thickness of Shims) | 14 gage | Manufacturer(s) | DS Brown |
| Batch Number | na |
Test Details
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DIME Sample ID: 2020-07-30-25
DIME Test ID: 2020-07-30-25-5
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-08-10
Test Results
Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 08/10/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 8/10/2020 ✔