Test 2017-09-08-11-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 3807
DEA: 07121844
EFIS: 0700000117
DIST-CO-RTE-PM07-LA-5-42.8/47.3
Work DescriptionCONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING
Sample Information
Sample Taken Date9/8/2017 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 testing9/29/2017
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedManufacturer
First name of sampler or witnessed byMike Last name of sampler or witnessed bySpellman
Title of samplerUnknown Laboratory sample identificationUnknown
The fabricator/manufacturer/facility nameSeismic Energy 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)4000419-1A1 4000419-1B1
Material/Compound/Elastomer IDNA Samples RepresentingNA
Description (size)1.642"x 12.008"x 17.913" CommentsUnknown
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Seismic Energy
Batch NumberNA
Test Details
DIME Sample ID: 2017-09-08-11
DIME Test ID: 2017-09-08-11-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-10-11
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 10/03/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/04/2017