Test 2019-02-11-3-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 212245
DEA: 024F8604
EFIS: 0213000043
DIST-CO-RTE-PM02-TRI-36-26.7/27.1
Work DescriptionROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION
Location DescriptionTRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3
Sample Information
Sample Taken Date2/11/2019 Sample Unique Key3
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 testing2/14/2019
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 sampler Laboratory sample identification
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)17420-1
Material/Compound/Elastomer IDna Samples Representing9
Description (size)1.5" X 13" x 13" CommentsUnknown
Description (Number of Shims)3 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2019-02-11-3
DIME Test ID: 2019-02-11-3-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2019-02-22
Test Results

Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 02/15/2019
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 02/15/2019