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Sample Record for 2019-12-16-1

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Project Information

Project ID: 214231 DEA: 051M1704 EFIS: 0519000077 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-71.5/72, 71.5/72.0
Work Description: Polar Star Emergency wall and viaduct; NOTE ON FUNDING: This is an emergency project, per PM, METS (unit 3652) is covered for work on this project under WBS 270.44. Any issues with funding please notify METS Rep.
Location Description:
Contractor Name: SOUZA CONSTRUCTION
Contractor Address: 4027 Santa Fe Road, San Luis Obispo, CA 93403
Resident Engineer: Rick Silva Structure Rep.: Salvador Heredia

Sample Information

DIME Sample ID: 2019-12-16-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Acceptance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 12/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2020
The quantity of what the sample constitutes: 32
A brief description of the sample: 1x8x12 Bearing Pad
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 18465-1
Material/Compound/Elastomer ID: 55 Duo
Samples Representing: 32
Description (size): 1x8x12
Comments:
Description (Number of Shims): 2
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Scougal Rubber
Batch Number: 18465-1

Test Results

Test 1 of 4

DIME Test ID: 2019-12-16-1-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 01/14/2020
Date Tested: 01/07/2020
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 50
Reading #2 51
Reading #3 51
Reading #4 51
Reading #5 51
Mean 50.8

Test 2 of 4

DIME Test ID: 2019-12-16-1-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 01/14/2020
Date Tested: 01/08/2020
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 5
Unit of the Ultimate Tensile Values lbf per sqr in
UTM 2kip
Humidity 50.00 %
Temperature 72 F
Sample 1 Median Thickness 0.073
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 2861.01 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.075
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 2785.61 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.074
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 2128.24 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Sample 4 Median Thickness 0.083
Sample 4 Thickness all Within 0.003 inch? Yes
Sample 4 Ultimate Tensile 2942.08 lbf/in^2
Sample 4 Elongation (350% Min) Pass
Sample 5 Median Thickness 0.082
Sample 5 Thickness all Within 0.003 inch? Yes
Sample 5 Ultimate Tensile 2804.39 lbf/in^2
Sample 5 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 2804.4 lbf/in^2

Test 3 of 4

DIME Test ID: 2019-12-16-1-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 01/14/2020
Date Tested: 01/08/2020
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 2kip
Humidity 50.00 %
Temperature 72 F
Sample 1 Median Thickness 0.085
Sample 1 Tear Strength 219
Sample 2 Median Thickness 0.077
Sample 2 Tear Strength 214.5
Sample 3 Median Thickness 0.075
Sample 3 Tear Strength 231.3
Median of the Tear Strength Values 219 lb/in

Test 4 of 4

DIME Test ID: 2019-12-16-1-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 01/08/2020
Date Tested: 01/08/2020
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Result Pass

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2019-12-16-1-2ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension01/08/2020Not scheduledRheanna AndelinCT HQ - Sacramento Structural Materials Testing Laboratory