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Sample Record for 2016-10-03-4

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

Project Information

Project ID: 211321 DEA: 041K8004 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP,NAP-121-16.7/16.9, 16.7/20.35
Work Description: Install temporary one-way traffic control signals, construct soldier pile retaining wall, reconstruct roadway, place RSP & perform miscellaneous related work
Location Description:
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Danilo Patenia Structure Rep.: Chris Moulton

Sample Information

DIME Sample ID: 2016-10-03-4
TL Number from the TL Form: C839657
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 10/03/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/04/2016
The quantity of what the sample constitutes: 1
A brief description of the sample: Bearing Pad
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 15049-1
Material/Compound/Elastomer ID: NA
Samples Representing: 111
Description (size): 1" x 8" x 12"
Comments: Unknown
Description (Number of Shims): 2
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Scougal Rubber
Batch Number: NA

Test Results

Test 1 of 4

DIME Test ID: 2016-10-03-4-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 10/17/2016
Date Tested: 10/10/2016
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 51
Reading #2 51
Reading #3 52
Reading #4 51
Reading #5 52
Mean 51.4

Test 2 of 4

DIME Test ID: 2016-10-03-4-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 10/17/2016
Date Tested: 10/10/2016
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 0.066 in
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 3151.5 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.072 in
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 3333.3 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.068 in
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 3058.8 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 3151.5 lbf/in^2

Test 3 of 4

DIME Test ID: 2016-10-03-4-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 10/17/2016
Date Tested: 10/10/2016
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 0.07 in
Sample 1 Tear Strength 257.1 lbf / in
Sample 2 Median Thickness 0.065 in
Sample 2 Tear Strength 276.9 lbf / in
Sample 3 Median Thickness 0.07 in
Sample 3 Tear Strength 271.4 lbf / in
Median of the Tear Strength Values 271.4 lb/in

Test 4 of 4

DIME Test ID: 2016-10-03-4-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 10/17/2016
Date Tested: 10/14/2016
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