Test 2016-09-28-11-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211383
DEA: 010E5704
EFIS: 0114000102
DIST-CO-RTE-PM01-HUM-101,299-VAR
Work DescriptionBRIDGE REPAIR
Location DescriptionHUMBOLDT COUNTY AT VARIOUS LOCATIONS
Sample Information
Sample Taken Date9/28/2016 Sample Unique Key11
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 testing10/3/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
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) NumberNA
Inspector Lot Number from the Transportation Laboratory (TL) FormNA Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15196-1
Material/Compound/Elastomer IDNA Samples Representing7
Description (size)2.3" x 16" x 20" CommentsUnknown
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA
Test Details
DIME Sample ID: 2016-09-28-11
DIME Test ID: 2016-09-28-11-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-10-12
Test Results

Input Type: Measured
Tester's full name: Fred Saylor
Date of test: 10/11/2016
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/12/2016