Summary for Test 2017-05-11-11-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 211588
DEA: 030F3104
EFIS: 0300000078
DIST-CO-RTE-PM03-ED-49-23.6/24.5
Award Date12/12/2016
Closeout Date01/08/2019
Work DescriptionREPLACE BRIDGE.
Location DescriptionEL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD
QA Service Level1 (Verified on 10/19/2016)

Sample Information

Sample Taken Date05/11/2017 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 testing05/15/2017
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 Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
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)15771-1
Material/Compound/Elastomer IDNA Samples Representing1
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: 2017-05-11-11
DIME Test ID: 2017-05-11-11-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-06-01

Test Results


Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 05/25/2017
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/25/2017