Test 2016-11-11-3-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211070
DEA: 080Q3004
EFIS: 0800020191
DIST-CO-RTE-PM08-SBD-138-R17.1/R19.2
Work DescriptionREALIGN SECTION OF STATE ROUTE 138
Location DescriptionNear Hesperia from 1.9 mi East of Route 15 to 0.1 mi West of Summit Post Office Road to realign sections of State Route 138
Sample Information
Sample Taken Date11/11/2016 Sample Unique Key3
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 testing11/14/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedFabricator
First name of sampler or witnessed byPete Last name of sampler or witnessed byEtcheverry
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)14958-1
Material/Compound/Elastomer IDNA Samples Representing1
Description (size)4" x 16" x 16" CommentsUnknown
Description (Number of Shims)8 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA
Test Details
DIME Sample ID: 2016-11-11-3
DIME Test ID: 2016-11-11-3-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-11-21
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 11/21/2016
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 11/21/2016