Test 2021-04-06-31-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 214993
DEA: 051F5004
EFIS: 0514000003
DIST-CO-RTE-PM05-SB-101,135-70.6/71.2;0.1
Work DescriptionCONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA.
Location DescriptionSANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION
Sample Information
Sample Taken Date4/6/2021 Sample Unique Key31
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 testing4/12/2021
Sample typeQuality Assurance A brief description of the samplebearing pad
The quantity of what the sample constitutes2 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)19601-2
Material/Compound/Elastomer IDna Samples Representing60
Description (size)2.88"x12"x12" Comments
Description (Number of Shims)5 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2021-04-06-31
DIME Test ID: 2021-04-06-31-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-04-14
Test Results

Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 04/14/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/14/2021