Summary for Test 2021-06-21-22-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 215179
DEA: 010F4704
EFIS: 0116000011
DIST-CO-RTE-PM01-HUM-299-30.7/37.7
Award Date11/19/2020
Closeout Date11/27/2023
Work DescriptionPLACE HMA & RHMA-G & CONSTRUCT SOLDIER PILE WALL.
Location DescriptionHUMBOLDT COUNTY NEAR WILLOW CREEK AT VARIOUS LOCATIONS FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 1.1 MILES WEST OF ROUTE 96 JUNCTION
QA Service Level1 (Verified on 09/15/2020)

Sample Information

Sample Taken Date06/21/2021 Sample Unique Key22
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 testing06/30/2021
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 byPatrick Last name of sampler or witnessed byLoomis
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)20323-1
Material/Compound/Elastomer IDna Samples Representing77
Description (size)1.15"x14.5"x13.5" Comments
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna

Test Details

DIME Sample ID: 2021-06-21-22
DIME Test ID: 2021-06-21-22-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-07-02

Test Results


Input Type: Measured
Tester's full name: Yared Melketsadik
Date of test: 07/02/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 7/2/2021