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