Test 2017-07-31-5-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211778
DEA: 04235654
EFIS: 0400000680
DIST-CO-RTE-PM04-SM-101,114-1.3/2.5,5.0/5.3
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET
Sample Information
Sample Taken Date7/31/2017 Sample Unique Key5
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 testing8/11/2017
Sample typeQuality Assurance A brief description of the sample1x4x6 Elastomeric Bearing pad
The quantity of what the sample constitutesUnknown From where was the sample collectedManufacturer
First name of sampler or witnessed byScott Last name of sampler or witnessed byLeavitt
Title of samplerQA Inspector Laboratory sample identificationUnknown
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormS28-202-17 Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15708-1, 5, 6, 7
Material/Compound/Elastomer IDCP2527V55DURO Samples Representing500
Description (size).75x4x6 1x4x6 3.5x15x18 CommentsUnknown
Description (Number of Shims)2 8 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberUnknown
Test Details
DIME Sample ID: 2017-07-31-5
DIME Test ID: 2017-07-31-5-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-08-23
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 08/16/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/16/2017