Print Report | Back to Test Summary

Testing Report for 2017-05-11-11-4

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

DEA: 030F3104
EFIS: 0300000078
Project ID: 211588
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-49-23.6/24.5
Work Description: REPLACE BRIDGE.
Location Description: EL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Jeff Hamm
Structure Rep.: Glen Wheeler

Sample Information

DIME Sample ID: 2017-05-11-11
TL Number from the TL Form: NA
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 5/11/2017
Date that the sample was received by the laboratory/organization performing the testing: 5/15/2017
The quantity of what the sample constitutes: 1
A brief description of the sample: Bearing Pad
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 15771-1
Material/Compound/Elastomer ID: NA
Samples Representing: 1
Description (size): 3" x 12" x 12"
Comments: Unknown
Description (Number of Shims): 6
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Scougal Rubber
Batch Number: NA

Test Information

DIME Test ID: 2017-05-11-11-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Date Tested: 5/25/2017
Verified Date: 5/25/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Result: Pass