Test 2018-08-14-7-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 212150
DEA: 010G9004
EFIS: 0117000072
DIST-CO-RTE-PM01-MEN-,16.2-0/16.2
Work DescriptionMEN-162 Storm Repairs
Location DescriptionIN MENDOCINO COUNTY NEAR LAYTONVILLE FROM JCT 101 TO 1.0 MILES EAST OF MID FORK EEL RIVER BR #10-0252.
Sample Information
Sample Taken Date8/14/2018 Sample Unique Key7
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 testing8/14/2018
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 byPete Last name of sampler or witnessed byEtcheverry
Title of samplerUnknown Laboratory sample identificationUnknown
The fabricator/manufacturer/facility nameScougal Rubber 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)16873-1
Material/Compound/Elastomer IDNA Samples Representing40
Description (size)1" x 12" x 12" CommentsUnknown
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch NumberNA
Test Details
DIME Sample ID: 2018-08-14-7
DIME Test ID: 2018-08-14-7-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-08-23
Test Results

Input Type: Measured
Tester's full name: Lisa Dobeck
Date of test: 08/16/2018
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 08/16/2018