Test 2017-03-01-1-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 7285
DEA: 040120T4
EFIS: 0400000027
DIST-CO-RTE-PM04-SF-80-12.6/13.9
Work DescriptionCONSTRUCT BRIDGE, ROADWAYS, ELECTRICAL, BUILDINGS AND REMOVE BRIDGES
Location DescriptionTHE CITY AND COUNTY OF SAN FRANCISCO FROM THE YERBA BUENA TUNNEL TO 1.3 KM EAST OF THE YERBA BUENA TUNNEL
Sample Information
Sample Taken Date3/1/2017 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing3/10/2017
Sample typeQuality Assurance A brief description of the sampleElastomeric Bearing Pad
The quantity of what the sample constitutes1 lot of 66 From where was the sample collectedJob Site
First name of sampler or witnessed byStacey Last name of sampler or witnessed byDavis
Title of samplerQAI Laboratory sample identification
The fabricator/manufacturer/facility nameWarco Cal Neva Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB362-005-17 Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)A20186
Material/Compound/Elastomer IDNeoprene Pad 55 Samples Representing1 lot
Description (size)2" x 6" x 12" Commentshole in center
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)CSI
Batch Number012617
Test Details
DIME Sample ID: 2017-03-01-1
DIME Test ID: 2017-03-01-1-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-03-24
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 03/14/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 03/17/2017