Test 2019-12-26-3-4 (SMTL -06) Summary

Project Information
Project IdentifiersProject ID: 213749
DEA: 120C1104
EFIS: 1200000633
DIST-CO-RTE-PM12-ORA-57-20.3/21.6
Work DescriptionWIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING
Sample Information
Sample Taken Date12/26/2019 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 testing1/6/2020
Sample typeQuality Assurance A brief description of the sampleelastomeric bearing pad
The quantity of what the sample constitutes11 From where was the sample collectedManufacturer
First name of sampler or witnessed byHoward Last name of sampler or witnessed bySternberg
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 identifier
Structure name
Material Information
Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)18009-2
Material/Compound/Elastomer IDna Samples Representing11
Description (size)3x20x20 CommentsUnknown
Description (Number of Shims)6 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2019-12-26-3
DIME Test ID: 2019-12-26-3-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL -06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-01-08
Test Results

Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 01/08/2020
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 01/08/2020