Test 2017-11-29-17-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211513
DEA: 120M4904
EFIS: 1212000090
DIST-CO-RTE-PM12-ORA-5-1.2/2.2
Work DescriptionWIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS.
Location DescriptionORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING
Sample Information
Sample Taken Date11/29/2017 Sample Unique Key17
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 testing12/4/2017
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 byGreg Last name of sampler or witnessed byThompson
Title of samplerUnknown Laboratory sample identificationUnknown
The fabricator/manufacturer/facility nameDynatect Cal Neva Transportation Laboratory (TL) NumberC741439
Inspector Lot Number from the Transportation Laboratory (TL) FormB9-096-17 Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)112717
Material/Compound/Elastomer IDNA Samples Representing1
Description (size)1" x 6" x 8" CommentsUnknown
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Dynatect
Batch NumberNA
Test Details
DIME Sample ID: 2017-11-29-17
DIME Test ID: 2017-11-29-17-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2017-12-15
Test Results

Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 12/07/2017
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/08/2017