Test 2017-06-21-3-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211162
DEA: 044G4504
EFIS: 0412000477
DIST-CO-RTE-PM04-SOL-780-7.07
Work DescriptionREPLACE BRIDGE TO PROVIDE STANDARD VERTICAL CLEARANCE
Location DescriptionLAUREL STREET OC
Sample Information
Sample Taken Date6/21/2017 Sample Unique Key3
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 testing6/29/2017
Sample typeAcceptance A brief description of the sample12x18x2
The quantity of what the sample constitutes11 From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byMuser
Title of samplerQa Laboratory sample identification
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS19-350-17 Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15692
Material/Compound/Elastomer IDCp2527vcp2628ars703055duro Samples Representing11
Description (size)18x12x2 Comments
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal
Batch Number15692
Test Details
DIME Sample ID: 2017-06-21-3
DIME Test ID: 2017-06-21-3-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-07-13
Test Results

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

Test was verified on 07/06/2017