Summary for Test 2021-09-10-10-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date03/01/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date09/10/2021 Sample Unique Key10
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 testing09/15/2021
Sample typeQuality Assurance A brief description of the samplebearing pads
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 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)20156-1 20156-3
Material/Compound/Elastomer IDna Samples Representing93
Description (size)4.03"x14"x16" Comments
Description (Number of Shims)7 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna

Test Details

DIME Sample ID: 2021-09-10-10
DIME Test ID: 2021-09-10-10-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-09-17

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 09/17/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 9/17/2021