Test 2016-06-01-9-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 209918
DEA: 07274804
EFIS: 0700000516
DIST-CO-RTE-PM07-LA-18-0.2
Work DescriptionREPLACE BRIDGE DECK AND RAILING, REPAIR BENT CAPS AND COLUMNS.
Location DescriptionLOS ANGELES COUNTY AT LLANO AT COUNTY LINE OVERHEAD
Sample Information
Sample Taken Date6/1/2016 Sample Unique Key9
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 testing6/3/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes13 From where was the sample collectedSource
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)132477
Material/Compound/Elastomer IDNA Samples Representing13
Description (size)3.45in x 9in x 14in CommentsUnknown
Description (Number of Shims)6 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA
Test Details
DIME Sample ID: 2016-06-01-9
DIME Test ID: 2016-06-01-9-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-06-21
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 06/15/2016
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 06/21/2016