Test 2021-04-26-1-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
Sample Information
Sample Taken Date4/26/2021 Sample Unique Key1
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 testing5/3/2021
Sample typeQuality Assurance A brief description of the sample1 sample
The quantity of what the sample constitutes1 sample/lot From where was the sample collectedFabricator
First name of sampler or witnessed byRommoney Last name of sampler or witnessed byWu
Title of samplerMR 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)19868-4
Material/Compound/Elastomer IDunkwn Samples Representing3
Description (size)9x9x2.88 Comments
Description (Number of Shims)5 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)scougal
Batch Number102820
Test Details
DIME Sample ID: 2021-04-26-1
DIME Test ID: 2021-04-26-1-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-05-12
Test Results

Input Type: Measured
Tester's full name: Kirolos Kelada
Date of test: 05/12/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 05/12/2021