Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly
DIME Sample ID: 2021-04-26-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 04/26/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/03/2021
The quantity of what the sample constitutes: 1 sample/lot
A brief description of the sample: 1 sample
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber
Mfg. Lot Number(s): 19868-4
Material/Compound/Elastomer ID: unkwn
Samples Representing: 3
Description (size): 9x9x2.88
Comments:
Description (Number of Shims): 5
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): scougal
Batch Number: 102820
DIME Test ID: 2021-04-26-1-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 05/20/2021
Date Tested: 05/05/2021
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
|
52
|
|
Reading #3
|
52
|
|
Reading #4
|
51
|
|
Reading #5
|
53
|
|
Mean
|
52.2
|
DIME Test ID: 2021-04-26-1-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 05/20/2021
Date Tested: 05/07/2021
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
|
50.00 %
|
|
Temperature
|
72 F
|
|
Sample 1 Median Thickness
|
0.084
|
|
Sample 1 Thickness all Within 0.003 inch?
|
Yes
|
|
Sample 1 Ultimate Tensile
|
2920.72 lbf/in^2
|
|
Sample 1 Elongation (350% Min)
|
Pass
|
|
Sample 2 Median Thickness
|
0.083
|
|
Sample 2 Thickness all Within 0.003 inch?
|
Yes
|
|
Sample 2 Ultimate Tensile
|
3024.6 lbf/in^2
|
|
Sample 2 Elongation (350% Min)
|
Pass
|
|
Sample 3 Median Thickness
|
0.086
|
|
Sample 3 Thickness all Within 0.003 inch?
|
Yes
|
|
Sample 3 Ultimate Tensile
|
2932.19 lbf/in^2
|
|
Sample 3 Elongation (350% Min)
|
Pass
|
|
Median of the Ultimate Tensile Values
|
2932.2 lbf/in^2
|
DIME Test ID: 2021-04-26-1-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 05/20/2021
Date Tested: 05/07/2021
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
|
0.081
|
|
Sample 1 Tear Strength
|
237.3
|
|
Sample 2 Median Thickness
|
0.085
|
|
Sample 2 Tear Strength
|
227.7
|
|
Sample 3 Median Thickness
|
0.082
|
|
Sample 3 Tear Strength
|
238
|
|
Median of the Tear Strength Values
|
237.3 lb/in
|
DIME Test ID: 2021-04-26-1-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 05/12/2021
Date Tested: 05/12/2021
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:
Additional Comments When Verified:
