Test 2020-10-20-5-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 214847
DEA: 074W8204
EFIS: 0720000009
DIST-CO-RTE-PM07-VEN-101-17.7
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGE AND PLACE CONCRETE BARRIER.
Location DescriptionVENTURA COUNTY IN CAMARILLO AT CENTRAL AVENUE OVERCROSSING
Sample Information
Sample Taken Date10/20/2020 Sample Unique Key5
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 testing10/22/2020
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)19214-1
Material/Compound/Elastomer IDna Samples Representing3
Description (size)1"x9"x19" Comments
Description (Number of Shims)na Type of Bearing PadPlain
Description (Thickness of Shims)NA Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2020-10-20-5
DIME Test ID: 2020-10-20-5-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2020-10-23
Test Results

Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 10/23/2020
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/23/2020