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Sample Record for 2019-01-02-1

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

Project Information

DEA: No Project QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-01-02-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM1 - Elastomeric Bearing Pad
Sample Taken Date: 01/02/2019
Date that the sample was received by the laboratory/organization performing the testing: 01/08/2019
The quantity of what the sample constitutes: 1 Lot, A, B C & D production dates
A brief description of the sample: 1/2" Bearing pad Neoprene
From where was the sample collected: Distributor
Laboratory sample identification: Production Code 41-1200-12
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: GRT Rubber TEchnologies

Material Information

Mfg. Lot Number(s): A B C D
Material/Compound/Elastomer ID: Neporene
Samples Representing: 4 production dates
Description (size): .5
Comments: Sampled from Lot C
Description (Number of Shims): 0
Type of Bearing Pad: Plain
Description (Thickness of Shims): NA
Manufacturer(s): GRT
Batch Number: BP054012
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2019-01-02-1-1
Test Method: SMTL BILST-06: (Neoprene Verification) Bilstein Test
Verified Date: 01/08/2019
Date Tested: 01/08/2019
Submitted By Organization: CT HQ - Sacramento Chemistry Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: sanchita.dey@dot.ca.gov
Organization Phone: (916) 227-7912
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Result Pass

Test 2 of 4

DIME Test ID: 2019-01-02-1-2
Test Method: ASTM D2240-05re10: Standard Test Method for Rubber Property - Durometer Hardness
Verified Date: 01/18/2019
Date Tested: 01/08/2019
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 51
Reading #2 51
Reading #3 52
Reading #4 53
Reading #5 51
Mean 51.6

Test 3 of 4

DIME Test ID: 2019-01-02-1-3
Test Method: ASTM D412-06a-re13: Standard Test Methods for Vulcanized Rubber and Thermoplastic Elastomers-Tension
Verified Date: 01/18/2019
Date Tested: 01/08/2019
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 2628.6 lbf/in^2
Sample 1 Elongation (350% Min) Pass
Sample 2 Median Thickness 0.067 in
Sample 2 Thickness all Within 0.003 inch? Yes
Sample 2 Ultimate Tensile 2619 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 2540.5 lbf/in^2
Sample 3 Elongation (350% Min) Pass
Median of the Ultimate Tensile Values 2619 lbf/in^2

Test 4 of 4

DIME Test ID: 2019-01-02-1-4
Test Method: ASTM D624-00-re12: Standard Test Method for Tear Strength of Conventional Vulcanized Rubber and Thermoplastic Elastomers
Verified Date: 01/18/2019
Date Tested: 01/08/2019
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 0.063 in
Sample 1 Tear Strength 222.2 lbf / in
Sample 2 Median Thickness 0.064 in
Sample 2 Tear Strength 218.8 lbf / in
Sample 3 Median Thickness 0.06 in
Sample 3 Tear Strength 233.3 lbf / in
Median of the Tear Strength Values 222.2 lb/in