Summary for Test 2021-11-23-17-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 214663
DEA: 081F7304
EFIS: 0815000034
DIST-CO-RTE-PM08-SBD-215-2.7
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE CONCRETE BRIDGE, PLACE CONCRETE PCPS GIRDERS AND HMA.
Location DescriptionSAN BERNARDINO COUNTY IN COLTON AT WASHINGTON STREET OVERCROSSING
QA Service Level1 (Verified on 02/24/2021)

Sample Information

Sample Taken Date11/23/2021 Sample Unique Key17
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 testing11/29/2021
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 byPatrick Last name of sampler or witnessed byLoomis
Title of sampler Telephone number of sampler
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)20329-1
Material/Compound/Elastomer IDna Samples Representing29
Description (size)3.45"x16"x16" Comments
Description (Number of Shims)6 Type of Bearing PadSteel
Description (Thickness of Shims)14 gage Manufacturer(s)Scougal Rubber
Batch Numberna

Test Details

DIME Sample ID: 2021-11-23-17
DIME Test ID: 2021-11-23-17-4
Testing Lab: CT HQ - Sacramento Chemistry Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2021-12-03

Test Results


Input Type: Calculated
Tester's full name: Mariano Pontillas
Date of test: 12/03/2021
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 12/3/2021