Test 2016-04-06-12-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 210608
DEA: 010B03U4
EFIS: 0115000059
DIST-CO-RTE-PM01-HUM-96-8.3/8.9
Work DescriptionSOLDIER PILE WALL WITH GROUND ANCHORS, HMA, GABION WALL AND DRAINAGE
Location DescriptionHUMBOLDT COUNTY NEAR HOOPA FROM TISH TANG SIDEHILL VIADUCT #2 TO 0.3 MILE WEST OF SHOEMAKER ROAD
Sample Information
Sample Taken Date4/6/2016 Sample Unique Key12
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 testing4/7/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes43 From where was the sample collectedFabricator
First name of sampler or witnessed byCorey Last name of sampler or witnessed byNishioku
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)132359
Material/Compound/Elastomer IDNA Samples Representing43
Description (size)1in x 8in x 12in CommentsUnknown
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: 2016-04-06-12
DIME Test ID: 2016-04-06-12-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-04-18
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 04/15/2016
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/18/2016