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Testing Report for 2021-04-26-1-1

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

Project Information

DEA: 041A6614
EFIS: 0415000291
Project ID: 213099
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
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: 4/26/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/3/2021
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
Description (Number of Shims): 5
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): scougal
Batch Number: 102820

Test Information

DIME Test ID: 2021-04-26-1-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Date Tested: 5/5/2021
Verified Date: 5/20/2021
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:
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Temperature: 72 f
Humidity: 50 %
Reading #1: 53
Reading #2: 52
Reading #3: 52
Reading #4: 51
Reading #5: 53
Mean: 52.2