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Sample Record for 2019-07-22-30

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

Project Information

Project ID: 214698 DEA: 120N8904 EFIS: 1214000130 QA Service Level: 1
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-07-22-30
TL Number from the TL Form: C-17303-2
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 07/22/2019
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2019
The quantity of what the sample constitutes: 1 ZIPLOCK BAG
A brief description of the sample: NATIVE SOIL 30' DEPTH
From where was the sample collected: Job Site
Laboratory sample identification: 8871
Structure unique identifier:
Structure name: RTE 133 PM 8 5 PM 9 3
The fabricator/manufacturer/facility name: NATIVE

Material Information

The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
A detailed description of where the material sample was collected: RTE 133 PM 8.5 -9.3 A-19-004 S-6 30 DEPTH
Where the material sample would have been placed if not sampled: Unknown

Test Results

Test 1 of 1

DIME Test ID: 2019-07-22-30-1
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 9098293029
Data has not been verified.