Test 2021-07-29-26-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 215396
DEA: 042K8404
EFIS: 0417000031
DIST-CO-RTE-PM04-SOL-29,80-0.0,0.8/1.6
Work DescriptionHMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location DescriptionSOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
Sample Information
Sample Taken Date7/29/2021 Sample Unique Key26
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 testing8/6/2021
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 byKayla Last name of sampler or witnessed byWallace
Title of sampler Laboratory sample identification
The fabricator/manufacturer/facility nameDynamic 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)CR55-007-21 CR55-008-21
Material/Compound/Elastomer IDna Samples Representing74
Description (size)1.73"x12"x12" Comments
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Dynamic Rubber
Batch Number253
Test Details
DIME Sample ID: 2021-07-29-26
DIME Test ID: 2021-07-29-26-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-08-10
Test Results

Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 08/10/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/10/2021