Summary for Test 2016-10-03-4-4

Test performed: SMTL BILST-06

Project Information

Project IdentifiersProject ID: 211321
DEA: 041K8004
DIST-CO-RTE-PM04-NAP,NAP-121-16.7/16.9, 16.7/20.35
Award Date03/18/2016
Closeout Date12/20/2017
Work DescriptionInstall temporary one-way traffic control signals, construct soldier pile retaining wall, reconstruct roadway, place RSP & perform miscellaneous related work
Location DescriptionNot set
QA Service Level1 (Verified on 06/15/2016)

Sample Information

Sample Taken Date10/03/2016 Sample Unique Key4
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 testing10/04/2016
Sample typeQuality Assurance A brief description of the sampleBearing Pad
The quantity of what the sample constitutes1 From where was the sample collectedJob Site
First name of sampler or witnessed byGarnal Last name of sampler or witnessed byAbushaban
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameScougal Rubber Transportation Laboratory (TL) NumberC839657
Inspector Lot Number from the Transportation Laboratory (TL) FormNA Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM1 - Elastomeric Bearing Pad Mfg. Lot Number(s)15049-1
Material/Compound/Elastomer IDNA Samples Representing111
Description (size)1" x 8" x 12" CommentsUnknown
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: 2016-10-03-4
DIME Test ID: 2016-10-03-4-4
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Test Release Date: 2016-10-17

Test Results


Input Type: Measured
Tester's full name: Glen Weldon
Date of test: 10/14/2016
Result: Pass
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 10/17/2016