Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001123 DEA: 051H4704 EFIS: 0516000078
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-9-9-13.6,15.5
Work Description: REPLACE BRIDGES AND INSTALL MGS.
Location Description: SANTA CRUZ COUNTY NEAR BOULDER CREEK AT SAN LORENZO RIVER BRIDGE AND AT KINGS CREEK BRIDGE
Contractor Name: GORDON N. BALL, INC.
Contractor Address: Unknown
Resident Engineer: Gareth Gill Structure Rep.: Jarred Burrows
DIME Sample ID: 2026-03-27-34
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 03/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/02/2026
The quantity of what the sample constitutes: 44
A brief description of the sample: Laminated Elastomeric bearing pad
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bridge Rubber Bearing
Mfg. Lot Number(s): 2527-2
Material/Compound/Elastomer ID: LEP1
Samples Representing: 44
Description (size): 2.30" x 14" x 14"
Comments:
Description (Number of Shims): 4
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Bridge Rubber Bearing
Batch Number: 155833
DIME Test ID: 2026-03-27-34-1
Test Method: ASTM D2240-15r21: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 04/20/2026
Date Tested: 04/20/2026
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Temperature
|
0 f
|
|
Humidity
|
0 %
|
|
Reading #1
|
52
|
|
Reading #2
|
53
|
|
Reading #3
|
53
|
|
Reading #4
|
53
|
|
Reading #5
|
53
|
|
Mean
|
53.1
|
DIME Test ID: 2026-03-27-34-2
Test Method: ASTM D412-16r21: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 04/20/2026
Date Tested: 04/20/2026
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of specimens tested
|
3
|
|
Unit of the Ultimate Tensile Values
|
psi
|
|
UTM
|
NA
|
|
Humidity
|
0 %
|
|
Temperature
|
0 f
|
|
Sample 1 Median Thickness
|
0.061 in
|
|
Sample 1 Thickness all Within 0.003 inch?
|
Yes
|
|
Sample 1 Ultimate Tensile
|
2365 psi
|
|
Sample 1 Elongation (350% Min)
|
Pass
|
|
Sample 2 Median Thickness
|
0.065 in
|
|
Sample 2 Thickness all Within 0.003 inch?
|
Yes
|
|
Sample 2 Ultimate Tensile
|
2340 psi
|
|
Sample 2 Elongation (350% Min)
|
Pass
|
|
Sample 3 Median Thickness
|
0.067 in
|
|
Sample 3 Thickness all Within 0.003 inch?
|
Yes
|
|
Sample 3 Ultimate Tensile
|
2440 psi
|
|
Sample 3 Elongation (350% Min)
|
Pass
|
|
Median of the Ultimate Tensile Values
|
2365 psi
|
DIME Test ID: 2026-03-27-34-3
Test Method: ASTM D624-00r20: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 04/20/2026
Date Tested: 04/20/2026
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Number of specimens tested
|
3
|
|
UTM
|
NA
|
|
Humidity
|
0 %
|
|
Temperature
|
0 f
|
|
Sample 1 Median Thickness
|
0.072 in
|
|
Sample 1 Tear Strength
|
220 lb/in
|
|
Sample 2 Median Thickness
|
0.071 in
|
|
Sample 2 Tear Strength
|
191 lb/in
|
|
Sample 3 Median Thickness
|
0.074 in
|
|
Sample 3 Tear Strength
|
211 lb/in
|
|
Median of the Tear Strength Values
|
211 lb/in
|
DIME Test ID: 2026-03-27-34-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 04/20/2026
Date Tested: 04/20/2026
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified: