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Sample Record for 2016-10-31-3

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

Project Information

Project ID: 211237 DEA: 080Q7904 EFIS: 0800020481 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R93.1/94.2
Work Description: REPLACE HOFF WASH BRIDGE (BRIDGE NUMBER 54-0889L/R)
Location Description: SAN BERNARDINO COUNTY FROM 0.3 MILE WEST TO 0.4 MILE EAST OF HOFF WASH BRIDGE
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 Cushing, Suite 200, Irvine, CA 92618
Resident Engineer: Darcy Davis Structure Rep.: Leonard Romero

Sample Information

DIME Sample ID: 2016-10-31-3
TL Number from the TL Form: NA
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: 10/31/2016
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: elastomeric bearing pad
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 15100-1, 2
Material/Compound/Elastomer ID: NA
Samples Representing: 58
Description (size): 1.5 x12 x 15
Comments: Unknown
Description (Number of Shims): 3
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Scougal Rubber
Batch Number: NA
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2016-10-31-3-1
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 11/16/2016
Date Tested: 11/09/2016
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 51 %
Temperature 72 F
Sample 1 Median Thickness 0.091 in
Sample 1 Tear Strength 274.7 lbf / in
Sample 2 Median Thickness 0.09 in
Sample 2 Tear Strength 266.7 lbf / in
Sample 3 Median Thickness 0.089 in
Sample 3 Tear Strength 280.9 lbf / in
Median of the Tear Strength Values 274.7 lb/in

Test 2 of 4

DIME Test ID: 2016-10-31-3-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 11/16/2016
Date Tested: 11/09/2016
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 51 %
Temperature 72 F
Sample 1 Median Thickness 0.084 in
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 3285.7 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.084 in
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 3381 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.084 in
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 3190.5 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 3285.7 lbf/in^2

Test 3 of 4

DIME Test ID: 2016-10-31-3-3
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 11/16/2016
Date Tested: 11/09/2016
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:
Temperature 72 f
Humidity 51 %
Reading #1 57
Reading #2 56
Reading #3 57
Reading #4 51
Reading #5 52
Mean 54.6

Test 4 of 4

DIME Test ID: 2016-10-31-3-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 11/16/2016
Date Tested: 11/15/2016
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