Summary for Test 2021-01-29-13-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 215210
DEA: 030J1804
EFIS: 0319000232
DIST-CO-RTE-PM03-COL-5-6.8
Award Date11/19/2020
Closeout DateNot set
Work DescriptionCONSTRUCT STRUCTURAL CONCRETE BARRIER SLAB AND CONCRETE BARRIER.
Location DescriptionCOLUSA COUNTY AT HILLGATE ROAD UNDERCROSSING (BRIDGE NO. 15-0047)
QA Service Level1 (Verified on 10/05/2020)

Sample Information

Sample Taken Date01/29/2021 Sample Unique Key13
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 testing02/04/2021
Sample typeQuality Assurance A brief description of the samplebearing pad
The quantity of what the sample constitutes3 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)19588-1
Material/Compound/Elastomer IDna Samples Representing80
Description (size)1"x4"x6" Comments
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Scougal Rubber
Batch Numberna

Test Details

DIME Sample ID: 2021-01-29-13
DIME Test ID: 2021-01-29-13-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-02-11

Test Results


Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 02/11/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 2/11/2021