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Sample Record for 2017-07-31-5

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

Project Information

Project ID: 211778 DEA: 04235654 EFIS: 0400000680 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101,114-1.3/2.5,5.0/5.3
Work Description: RECONSTRUCT INTERCHANGE
Location Description: SAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET
Contractor Name: Disney/OC Jones Construction Company Inc.
Contractor Address: 533 Airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Fernando Abela Structure Rep.: Oanh Bui

Sample Information

DIME Sample ID: 2017-07-31-5
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 07/31/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/11/2017
The quantity of what the sample constitutes: Unknown
A brief description of the sample: 1x4x6 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): 15708-1, 5, 6, 7
Material/Compound/Elastomer ID: CP2527V55DURO
Samples Representing: 500
Description (size): .75x4x6 1x4x6 3.5x15x18
Comments: Unknown
Description (Number of Shims): 2 8
Type of Bearing Pad: Steel
Description (Thickness of Shims): 14 gage
Manufacturer(s): Scougal Rubber
Batch Number: Unknown

Test Results

Test 1 of 4

DIME Test ID: 2017-07-31-5-1
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 08/16/2017
Date Tested: 08/15/2017
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 50
Reading #2 51
Reading #3 51
Reading #4 50
Reading #5 51
Mean 50.6

Test 2 of 4

DIME Test ID: 2017-07-31-5-2
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 08/16/2017
Date Tested: 08/15/2017
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 0.07 in
Sample 1 Thickness all Within 0.003 inch? Yes
Sample 1 Ultimate Tensile 3028.6 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.07 in
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 3028.6 lbf/in^2
Sample 2 Elongation (350% Min) Pass
Sample 3 Median Thickness 0.077 in
Sample 3 Thickness all Within 0.003 inch? Yes
Sample 3 Ultimate Tensile 2694.3 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 3028.6 lbf/in^2

Test 3 of 4

DIME Test ID: 2017-07-31-5-3
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 08/16/2017
Date Tested: 08/15/2017
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 0.071 in
Sample 1 Tear Strength 267.6 lbf / in
Sample 2 Median Thickness 0.067 in
Sample 2 Tear Strength 253.7 lbf / in
Sample 3 Median Thickness 0.077 in
Sample 3 Tear Strength 246.8 lbf / in
Median of the Tear Strength Values 253.7 lb/in

Test 4 of 4

DIME Test ID: 2017-07-31-5-4
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 08/16/2017
Date Tested: 08/16/2017
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