Test 2016-03-21-2-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 209217
DEA: 080F5404
EFIS: 0800000136
COOP: 081468
DIST-CO-RTE-PM08-RIV-91,15-0.0/13.04, 35.64/45.14
Work DescriptionSR-91 Corridor Improvement Project: Develop approx. 8 miles of tolled express lanes and related improvements within SR 91 between the Riverside/Orange County line and I-15, including transition areas.
Location Description08-RIV-91-0.0/13.04; 12-ORA-91-R14.43/R18.91; 08-RIV-15-35.64/45.14
Sample Information
Sample Taken Date3/21/2016 Sample Unique Key2
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 testing3/22/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes7 From where was the sample collectedFabricator
First name of sampler or witnessed byPete Last name of sampler or witnessed byEtcheverry
Title of samplerUnknown Laboratory sample identificationUnknown
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)14646-1
Material/Compound/Elastomer IDNA Samples Representing7
Description (size)4in x 16in x 22in CommentsUnknown
Description (Number of Shims)8 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)scougal Rubber
Batch NumberNA
Test Details
DIME Sample ID: 2016-03-21-2
DIME Test ID: 2016-03-21-2-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-04-05
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 04/05/2016
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/05/2016