Test 2017-03-23-2-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 210828
DEA: 07290704
EFIS: 0712000076
DIST-CO-RTE-PM07-LA-47-0.9/2.0
Work DescriptionRESTORE BRIDGE SEISMIC.
Location DescriptionNot set
Sample Information
Sample Taken Date3/23/2017 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 testing3/24/2017
Sample typeQuality Assurance A brief description of the sampleelastomeric bearing pad
The quantity of what the sample constitutes11 From where was the sample collectedFabricator
First name of sampler or witnessed byJames Last name of sampler or witnessed byDoe
Title of samplerUnknown Laboratory sample identificationUnknown
The fabricator/manufacturer/facility nameCal-Neva Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormB35801817 Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)02227262
Material/Compound/Elastomer ID055E0507 Samples Representing11
Description (size).75 x 36 x 36 CommentsUnknown
Description (Number of Shims)0 Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Warco Biltrite
Batch Number1111797
Test Details
DIME Sample ID: 2017-03-23-2
DIME Test ID: 2017-03-23-2-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-04-10
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 03/29/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 04/03/2017