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Sample Record for 2017-07-31-4

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2017-07-31-4
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 07/31/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: .75x8x12 Bearing Pad
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 16066-1
Material/Compound/Elastomer ID: CP2527V55DURO
Samples Representing: 2
Description (size): .75x8x12
Comments: Unknown
Description (Number of Shims): Plain
Type of Bearing Pad: Plain
Description (Thickness of Shims): NA
Manufacturer(s): Scougal Rubber
Batch Number: Unknown

Test Results

Test 1 of 4

DIME Test ID: 2017-07-31-4-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 08/16/2017
Date Tested: 08/14/2017
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 72 f
Humidity 50 %
Reading #1 53
Reading #2 54
Reading #3 54
Reading #4 53
Reading #5 53
Mean 53.4

Test 2 of 4

DIME Test ID: 2017-07-31-4-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 08/16/2017
Date Tested: 08/15/2017
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens tested 3
Unit of the Ultimate Tensile Values lbf per sqr in
UTM 2KIP
Humidity 50 %
Temperature 72 F
Sample 1 Median Thickness 0.073 in
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 2513.7 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.076 in
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 2736.8 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.072 in
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 2500 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 2513.7 lbf/in^2

Test 3 of 4

DIME Test ID: 2017-07-31-4-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 08/16/2017
Date Tested: 08/15/2017
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of specimens tested 3
UTM no data
Humidity 50 %
Temperature 72 F
Sample 1 Median Thickness 0.061 in
Sample 1 Tear Strength 278.7 lbf / in
Sample 2 Median Thickness 0.083 in
Sample 2 Tear Strength 241 lbf / in
Sample 3 Median Thickness 0.06 in
Sample 3 Tear Strength 233.3 lbf / in
Median of the Tear Strength Values 241 lb/in

Test 4 of 4

DIME Test ID: 2017-07-31-4-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 08/16/2017
Date Tested: 08/16/2017
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Result Pass