Test 2021-08-30-27-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 215516
DEA: 042Q0604
EFIS: 0418000414
DIST-CO-RTE-PM04-SCL-17,101,237,280,880-var
Work DescriptionPLACE POLYESTER CONCRETE OVERLAY, PLACE HMA, AND REPLACE ACCESS DOORS.
Location DescriptionSANTA CLARA COUNTY AT VARIOUS LOCATIONS
Sample Information
Sample Taken Date8/30/2021 Sample Unique Key27
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 testing9/3/2021
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 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)20482-1
Material/Compound/Elastomer IDna Samples Representing11
Description (size)1.15"x10"x10" 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: 2021-08-30-27
DIME Test ID: 2021-08-30-27-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-09-13
Test Results

Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 09/13/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 09/13/2021