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Sample Record for 2021-03-02-21

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Project Information

Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-12.4/14.5
Work Description: South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY
Location Description: ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 Cushing, Suite 200, Irvine, CA 92618
Resident Engineer: Kifah Ramadan Structure Rep.: Imad Karam

Sample Information

DIME Sample ID: 2021-03-02-21
TL Number from the TL Form:
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: 03/02/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/05/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: Bearing Pad
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 19370-1
Material/Compound/Elastomer ID: na
Samples Representing: 66
Description (size): 2"x12"x14"
Comments:
Description (Number of Shims): 4
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: 2021-03-02-21-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 03/25/2021
Date Tested: 03/17/2021
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 51
Reading #3 51
Reading #4 51
Reading #5 50
Mean 51.2

Test 2 of 4

DIME Test ID: 2021-03-02-21-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 03/25/2021
Date Tested: 03/17/2021
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 0.082
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 2684.31 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.082
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 2799.1 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.082
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 2765.61 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 2765.6 lbf/in^2

Test 3 of 4

DIME Test ID: 2021-03-02-21-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 03/25/2021
Date Tested: 03/17/2021
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 252.7
Sample 2 Median Thickness 0.079
Sample 2 Tear Strength 249.7
Sample 3 Median Thickness 0.078
Sample 3 Tear Strength 266.7
Median of the Tear Strength Values 252.7 lb/in

Test 4 of 4

DIME Test ID: 2021-03-02-21-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 03/24/2021
Date Tested: 03/24/2021
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: complies
Additional Comments When Verified:
Result Pass