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Sample Record for 2016-12-30-2

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

Project Information

Project ID: 211068 DEA: 080N5504 EFIS: 0800020102 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R105.2/R106.5
Work Description: REPLACE THE LEFT WATSON WASH BRIDGE N0. 0805L
Location Description:
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Darcy Davis Structure Rep.: Leonard Romero

Sample Information

DIME Sample ID: 2016-12-30-2
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: 12/30/2016
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2017
The quantity of what the sample constitutes: 43
A brief description of the sample: Bearing Pad
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Scougal Rubber

Material Information

Mfg. Lot Number(s): 15400-1
Material/Compound/Elastomer ID: NA
Samples Representing: 43
Description (size): 3.45" x 10" x 10"
Comments: Unknown
Description (Number of Shims): 6
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: 2016-12-30-2-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 01/12/2017
Date Tested: 01/10/2017
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 54
Reading #2 54
Reading #3 55
Reading #4 54
Reading #5 55
Mean 54.4

Test 2 of 4

DIME Test ID: 2016-12-30-2-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 01/12/2017
Date Tested: 01/10/2017
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 0.074 in
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 3081.1 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 2722.2 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.074 in
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 3189.2 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 3081.1 lbf/in^2

Test 3 of 4

DIME Test ID: 2016-12-30-2-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 01/12/2017
Date Tested: 01/10/2017
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 0.068 in
Sample 1 Tear Strength 250 lbf / in
Sample 2 Median Thickness 0.068 in
Sample 2 Tear Strength 205.9 lbf / in
Sample 3 Median Thickness 0.074 in
Sample 3 Tear Strength 229.7 lbf / in
Median of the Tear Strength Values 229.7 lb/in

Test 4 of 4

DIME Test ID: 2016-12-30-2-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 01/12/2017
Date Tested: 01/11/2017
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