Test 2018-09-24-8-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 211775
DEA: 024E6504
EFIS: 0212000012
DIST-CO-RTE-PM02-SIS-96-R52.5/88.4
Work DescriptionWIDEN BRIDGES,POLYESTER CONC OVERLAY,COLD PLANE AC PVMT,HMA,GUARDRAIL
Location DescriptionSISKIYOU COUNTY NEAR SEIAD VALLEY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF THOMPSON CREEK BRIDGE TO 0.2 MILE EAST OF BEAVER CREEK BRIDGE
Sample Information
Sample Taken Date9/24/2018 Sample Unique Key8
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 testing9/28/2018
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes3 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 nameDS Brown Seismic 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)54726-1A1, 5E1, 6F1
Material/Compound/Elastomer IDNA Samples Representing1
Description (size)13.5" x 9" x 1.75" CommentsUnknown
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)DS Brown
Batch NumberNA
Test Details
DIME Sample ID: 2018-09-24-8
DIME Test ID: 2018-09-24-8-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2018-10-11
Test Results

Input Type: Measured
Tester's full name: Richard Wilmshurst
Date of test: 10/04/2018
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/04/2018