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Testing Report for 2020-10-29-8-5

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

Project Information

DEA: 060Q2804
EFIS: 0613000051
Project ID: 213444
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-99,178-23.8/R28.4,0.1
Work Description: RECONSTRUCT LANES AND SHOULDERS WITH CRCP, MODIFYING ELECTRICAL SYSTEM
Location Description: KERN COUNTY IN BAKERSFIELD ON ROUTE 99 FROM 0.3 MILE SOUTH OF PALM AVENUE OVERCROSSING TO BEARDSLEY CANAL BRIDGE AND ON ROUTE 178 AT ROUTE 99/178 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Hugo Camberos
Structure Rep.: Luis Melendez

Sample Information

DIME Sample ID: 2020-10-29-8
TL Number from the TL Form:
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 TM2 - Type B Elastomeric Joint Seal
Sample Taken Date: 10/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/3/2020
The quantity of what the sample constitutes: 1
A brief description of the sample: joint seal
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Watson Bowman

Material Information

Mfg. Lot Number(s): 1120393
Manufacturer(s): Watson Bowman
Temperature: 72
Humidity: 50
Comments:
Joint Seal Size: 2.75"

Test Information

DIME Test ID: 2020-10-29-8-5
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Date Tested: 11/9/2020
Verified Date: 11/9/2020
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: lisa.dobeck@dot.ca.gov
Organization Phone: (916) 227-7919
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Result: Pass