Test 2021-08-16-18-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 214640
DEA: 042J7204
EFIS: 0415000016
DIST-CO-RTE-PM04-CC-580-1.17
Work DescriptionSTEGE DRAIN SUPER-STRUCTURE, PRECAST VOIDED SLABS
Location DescriptionCONTRA COSTA COUNTY IN RICHMOND FROM 0.3 MILE EAST OF STEGE DRAIN BRIDGE TO 0.3 MILE WEST OF BAYVIEW AVENUE OVERCROSSING
Sample Information
Sample Taken Date8/16/2021 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 testing8/19/2021
Sample typeQuality Assurance A brief description of the samplebearing pad
The quantity of what the sample constitutes3 From where was the sample collectedManufacturer
First name of sampler or witnessed byPatrick Last name of sampler or witnessed byLoomis
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)20209-1
Material/Compound/Elastomer IDna Samples Representing135
Description (size)1.72"x7.5"x7.5" Comments
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2021-08-16-18
DIME Test ID: 2021-08-16-18-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-08-27
Test Results

Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 08/27/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/27/2021