Test 2020-12-14-8-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 214562
DEA: 040J7104
EFIS: 0414000029
DIST-CO-RTE-PM04-SOL-80-1.8/4.4
Work DescriptionRAISE BRIDGE AND PLACE STRUCTURAL CONCRETE.
Location DescriptionSOLANO COUNTY IN VALLEJO AT VARIOUS LOCATIONS
Sample Information
Sample Taken Date12/14/2020 Sample Unique Key8
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 testing12/15/2020
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes123 From where was the sample collectedManufacturer
First name of sampler or witnessed byBrad Last name of sampler or witnessed byStreeter
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)19236-3
Material/Compound/Elastomer IDNA Samples Representing1
Description (size)1.5" x 12" x 12" Comments
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA
Test Details
DIME Sample ID: 2020-12-14-8
DIME Test ID: 2020-12-14-8-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-01-06
Test Results

Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 01/06/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 01/06/2021