Test 2021-05-05-29-4 (SMTL BILST-06) Summary

Project Information
Project IdentifiersProject ID: 215063
DEA: 032F5704
EFIS: 0300020615
DIST-CO-RTE-PM03-PLA-80-46.3/63.5
Work DescriptionReplace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location DescriptionNot set
Sample Information
Sample Taken Date5/5/2021 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 testing5/27/2021
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 Laboratory sample identification
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 05/28/2021