Summary for Test 2021-04-26-1-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Award Date11/30/2020
Closeout DateNot set
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
QA Service Level1 (Verified on 11/06/2020)

Sample Information

Sample Taken Date04/26/2021 Sample Unique Key1
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 testing05/03/2021
Sample typeQuality Assurance A brief description of the sample1 sample
The quantity of what the sample constitutes1 sample/lot From where was the sample collectedFabricator
First name of sampler or witnessed byRommoney Last name of sampler or witnessed byWu
Title of samplerMR Telephone number of sampler9164257894
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)19868-4
Material/Compound/Elastomer IDunkwn Samples Representing3
Description (size)9x9x2.88 Comments
Description (Number of Shims)5 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)scougal
Batch Number102820

Test Details

DIME Sample ID: 2021-04-26-1
DIME Test ID: 2021-04-26-1-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-05-12

Test Results


Input Type: Measured
Tester's full name: Kirolos Kelada
Date of test: 05/12/2021
Result:Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/12/2021