Summary for Test 2016-06-30-12-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 211155
DEA: 081F6304
EFIS: 0815000005
DIST-CO-RTE-PM08-SBD-40-R105.8/149.9
Award Date03/30/2016
Closeout Date08/16/2023
Work DescriptionREMOVE ASPHALT, PLACE CONCRETE OVERLAY AND REPLACE JOINT SEALS
Location DescriptionREMOVE ASPHALT, PLACE CONCRETE OVERLAY AND REPLACE JOINT SEALS
QA Service Level1 (Verified on 04/21/2016)

Sample Information

Sample Taken Date06/30/2016 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 testing07/11/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes49 From where was the sample collectedFabricator
First name of sampler or witnessed byCorey Last name of sampler or witnessed byNishioku
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
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)14805-A,C,E,G
Material/Compound/Elastomer IDNA Samples Representing49
Description (size)1in x 12in x 17in 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: 2016-06-30-12
DIME Test ID: 2016-06-30-12-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-07-21

Test Results


Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 07/21/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 7/21/2016