Summary for Test 2017-05-26-4-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 211774
DEA: 010B5404
EFIS: 0112000136
DIST-CO-RTE-PM01-MEN-162-13.9,22.7
Award Date01/24/2017
Closeout Date10/30/2017
Work DescriptionREPAIR ROADWAY AND CONSTRUCT WALL
Location DescriptionMENDOCINO COUNTY NEAR DOS RIOS AT 1.2 MILES WEST OF MIDDLE FORK EEL RIVER BRIDGE AND AT 2.8 MILES EAST OF SAND BANK CREEK
QA Service Level1 (Verified on 09/27/2016)

Sample Information

Sample Taken Date05/26/2017 Sample Unique Key4
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 testing06/05/2017
Sample typeAcceptance A brief description of the sample1x8x10 Beraing Pad
The quantity of what the sample constitutes24 From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byMuser
Title of samplerQA Telephone number of sampler916-799-3391
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS19-182-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15637
Material/Compound/Elastomer IDCP2527V CP2628A RS 7030 Samples Representing24
Description (size)1 x 8 x 10 Comments
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Number0

Test Details

DIME Sample ID: 2017-05-26-4
DIME Test ID: 2017-05-26-4-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-06-19

Test Results


Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 06/07/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/12/2017