Test 2017-01-24-2-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211668
DEA: 010B2604
EFIS: 0112000150
DIST-CO-RTE-PM01-DN-199-8.2
Work DescriptionCONSTRUCT BRIDGE AND WIDEN SHOULDERS
Location DescriptionDEL NORTE COUNTY NEAR HIOUCHI AT 1 MILE NORTH OF SOUTH FORK ROAD
Sample Information
Sample Taken Date1/24/2017 Sample Unique Key2
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 testing1/24/2017
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes2 From where was the sample collectedManufacturer
First name of sampler or witnessed byRob Last name of sampler or witnessed byAnderson
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)15480-1,2
Material/Compound/Elastomer IDNA Samples Representing2
Description (size)3" x 12" x 12" 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: 2017-01-24-2
DIME Test ID: 2017-01-24-2-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-02-09
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 02/02/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/02/2017