Summary for Test 2020-12-14-10-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date12/14/2020 Sample Unique Key10
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 constitutes25 From where was the sample collectedManufacturer
First name of sampler or witnessed byBrad Last name of sampler or witnessed byStreeter
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
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)19414-6
Material/Compound/Elastomer IDNA Samples Representing1
Description (size)4.03" x 12" x 26" Comments
Description (Number of Shims)7 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA

Test Details

DIME Sample ID: 2020-12-14-10
DIME Test ID: 2020-12-14-10-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-01-08

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 01/08/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 1/8/2021