Test 2021-04-12-18-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
Sample Information
Sample Taken Date4/12/2021 Sample Unique Key18
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 testing4/14/2021
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 byMike Last name of sampler or witnessed bySpellman
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameDS Brown 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)4001520-1A
Material/Compound/Elastomer IDna Samples Representing13
Description (size)2.3"x12"x12" Comments
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)DS Brown
Batch Numberna
Test Details
DIME Sample ID: 2021-04-12-18
DIME Test ID: 2021-04-12-18-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-04-20
Test Results

Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 04/20/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/20/2021