Summary for Test 2021-05-05-29-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 215063
DEA: 032F5704
EFIS: 0300020615
DIST-CO-RTE-PM03-PLA-80-46.3/63.5
Award Date09/23/2020
Closeout Date08/11/2023
Work DescriptionReplace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location DescriptionNot set
QA Service Level1 (Verified on 11/16/2020)

Sample Information

Sample Taken Date05/05/2021 Sample Unique Key29
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 testing05/27/2021
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes9 From where was the sample collectedManufacturer
First name of sampler or witnessed byMike Last name of sampler or witnessed bySpellman
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameD S Brown 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)4001799-2A
Material/Compound/Elastomer IDNA Samples Representing9
Description (size)2.30 x 12 x 12 Comments
Description (Number of Shims)4 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)D S Brown
Batch NumberNA

Test Details

DIME Sample ID: 2021-05-05-29
DIME Test ID: 2021-05-05-29-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-05-28

Test Results


Input Type: Measured
Tester's full name: Rachael Chavez
Date of test: 05/28/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 5/28/2021