Summary for Test 2020-10-20-5-4
Test performed: SMTL BILST-06Project Information
| Project Identifiers | Project ID: 214847 DEA: 074W8204 EFIS: 0720000009 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-17.7 |
| Award Date | 05/21/2020 |
| Closeout Date | 08/02/2021 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE AND PLACE CONCRETE BARRIER. |
| Location Description | VENTURA COUNTY IN CAMARILLO AT CENTRAL AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 07/08/2020) |
Sample Information
| Sample Taken Date | 10/20/2020 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 10/22/2020 |
| 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 | 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) | 19214-1 |
|---|---|---|---|
| Material/Compound/Elastomer ID | na | Samples Representing | 3 |
| Description (size) | 1"x9"x19" | Comments | |
| Description (Number of Shims) | na | Type of Bearing Pad | Plain |
| Description (Thickness of Shims) | NA | Manufacturer(s) | Scougal Rubber |
| Batch Number | na |
Test Details
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DIME Sample ID: 2020-10-20-5
DIME Test ID: 2020-10-20-5-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-10-23
Test Results
Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 10/23/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/23/2020 ✔