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Testing Report for 2021-08-16-19-1

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

Project Information

DEA: 024G4404
EFIS: 0214000013
Project ID: 215424
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-3-38.0/38.6
Work Description: BRIDGE REPLACEMENT
Location Description: SISKIYOU COUNTY ABOUT 6 MILES NORTH OF FORT JONES FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF LOWER MOFFETT CREEK ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nicole Mallory
Structure Rep.: Andy O'Sullivan

Sample Information

DIME Sample ID: 2021-08-16-19
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 8/16/2021
Date that the sample was received by the laboratory/organization performing the testing: 8/19/2021
The quantity of what the sample constitutes: 1
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): 20539-1
Material/Compound/Elastomer ID: na
Samples Representing: 21
Description (size): 2.3"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 Information

DIME Test ID: 2021-08-16-19-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Date Tested: 8/23/2021
Verified Date: 8/30/2021
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 :

Submitted Test Results

Temperature: 72 f
Humidity: 50 %
Reading #1: 50
Reading #2: 50
Reading #3: 50
Reading #4: 50
Reading #5: 50
Mean: 50