Test 2020-10-19-5-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 213700
DEA: 020H9004
EFIS: 0215000077
DIST-CO-RTE-PM02-BUT-70-41.9/42.3
Work DescriptionREMOVE CULVERTS AND CONSTRUCT BRIDGE
Location DescriptionBUTTE COUNTY NEAR PULGA FROM 2.5 MILES WEST OF PENSTOCK UNDERCROSSING TO 2.1 MILES WEST OF PENSTOCK UNDERCROSSING
Sample Information
Sample Taken Date10/19/2020 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 byIsmail Last name of sampler or witnessed byIBRAHIM
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)19188-1
Material/Compound/Elastomer IDna Samples Representing15
Description (size)1.15"x12"x16" Comments
Description (Number of Shims)2 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna
Test Details
DIME Sample ID: 2020-10-19-5
DIME Test ID: 2020-10-19-5-4
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