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

Project Information
Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
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
Sample Information
Sample Taken Date12/14/2020 Sample Unique Key12
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 constitutes17 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)19414-10
Material/Compound/Elastomer IDNA Samples Representing1
Description (size)4.03" x 12" x 24" 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: 2020-12-14-12
DIME Test ID: 2020-12-14-12-4
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 01/08/2021