Summary for Test 2017-06-01-12-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 211737
DEA: 042G9604
EFIS: 0412000010
DIST-CO-RTE-PM04-SCL-9-4.6
Award Date01/20/2017
Closeout Date12/21/2017
Work DescriptionCONSTRUCT ROADWAY AND RETAINING WALL
Location DescriptionSANTA CLARA COUNTY NEAR CITY OF SARATOGA 0.3 MILE SOUTH OF SANBORN ROAD
QA Service Level1 (Verified on 03/17/2017)

Sample Information

Sample Taken Date06/01/2017 Sample Unique Key12
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 testing06/07/2017
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 byEd Last name of sampler or witnessed byFleming
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCal Neva Transportation Laboratory (TL) NumberC703731
Inspector Lot Number from the Transportation Laboratory (TL) FormB1020117 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)041017
Material/Compound/Elastomer IDNA Samples Representing2
Description (size)1" x 4" x 6" CommentsUnknown
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Cal Neva
Batch NumberNA

Test Details

DIME Sample ID: 2017-06-01-12
DIME Test ID: 2017-06-01-12-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-06-20

Test Results


Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 06/13/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 6/13/2017