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Sample Record for 2021-04-26-1

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Project Information

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

Sample Information

DIME Sample ID: 2021-04-26-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
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

Material Information

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

Test Results

Test 1 of 4

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 Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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

Test 2 of 4

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 Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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

Test 3 of 4

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 Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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

Test 4 of 4

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 Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: lisa.dobeck@dot.ca.gov
Organization Phone: (916) 227-7919
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Result Pass

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.