Summary for Test 2020-04-22-9-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 214190
DEA: 024G41U4
EFIS: 0218000047
DIST-CO-RTE-PM02-SIS,SIS-5-Var
Award Date08/26/2019
Closeout Date11/24/2021
Work DescriptionREPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL.
Location DescriptionSHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING
QA Service Level1 (Verified on 07/09/2019)

Sample Information

Sample Taken Date04/22/2020 Sample Unique Key9
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 testing04/30/2020
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 byIsmail Last name of sampler or witnessed byIbrahim
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
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)18333-2
Material/Compound/Elastomer IDna Samples Representing24
Description (size)3"x14"x24" 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: 2020-04-22-9
DIME Test ID: 2020-04-22-9-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-05-05

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 05/05/2020
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/5/2020