Test 2016-06-30-12-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211155
DEA: 081F6304
EFIS: 0815000005
DIST-CO-RTE-PM08-SBD-40-R105.8/149.9
Work DescriptionREMOVE ASPHALT, PLACE CONCRETE OVERLAY AND REPLACE JOINT SEALS
Location DescriptionREMOVE ASPHALT, PLACE CONCRETE OVERLAY AND REPLACE JOINT SEALS
Sample Information
Sample Taken Date6/30/2016 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 testing7/11/2016
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 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)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 07/21/2016