Test 2020-06-03-4-1 (SMTL -06) Summary

Project Information
Project IdentifiersProject ID: 214701
DEA: 030F2844
EFIS: 0319000204
DIST-CO-RTE-PM03-SAC-99-7.1/9.4
Work DescriptionConstruct new PCC precast girder bridge over UPRR at McConnell OH between existing SB and NB alignments
Location DescriptionNot set
Sample Information
Sample Taken Date6/3/2020 Sample Unique Key4
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 testing6/5/2020
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 byBrad Last name of sampler or witnessed byStreeter
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)18890-1
Material/Compound/Elastomer IDna Samples Representing47
Description (size)2"x21"x25" CommentsUnknown
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2020-06-03-4
DIME Test ID: 2020-06-03-4-1
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL -06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-06-09
Test Results

Input Type: Measured
Tester's full name: Rheanna Andelin
Date of test: 06/09/2020
Result:Pass
General comments (publicly viewable) (Max 250 characters):

Test was verified on 06/09/2020