Test 2021-04-06-10-4 (SMTL -06) Summary

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Project Information
Project IdentifiersProject ID: 215145
DEA: 030H4604
EFIS: 0315000174
DIST-CO-RTE-PM03-PLA-80-2.6/3.1
Work DescriptionWIDEN ON-RAMP AND REPLACE BRIDGE.
Location DescriptionPLACER COUNTY IN ROSEVILLE AT THE ATLANTIC STREET ON RAMP
Sample Information
Sample Taken Date4/6/2021 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 testing4/6/2021
Sample typeQuality Assurance A brief description of the samplebearing pad
The quantity of what the sample constitutes1 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)19698-1
Material/Compound/Elastomer IDna Samples Representing15
Description (size)4.6"x20"x20" Comments
Description (Number of Shims)8 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2021-04-06-10
DIME Test ID: 2021-04-06-10-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL -06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-04-08
Test Results

Input Type: Measured
Tester's full name: Kirolos Kelada
Date of test: 04/08/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/08/2021