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Sample Record for 2020-10-14-35

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

Project Information

Project ID: 215310 DEA: 020J4504 EFIS: 0219000125 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-97-0/0.0001
Work Description: DORRIS TMS
Location Description: SISKIYOU COUNTY AT AND NEAR DORRIS AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF RICHARDSON ROAD TO 0.1 MILE NORTH OF DORRIS BROWNWELL ROAD
Contractor Name: Roll'n Rock Construction
Contractor Address: 5527 Truck Village Drive, Mount Shasta , CA 96067
Resident Engineer: Nicole Mallory Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-10-14-35
TL Number from the TL Form: C704770
Sample Submitted By Organization: Wood
Sample Organization Contact: (916) 396-3815
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 10/14/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/18/2020
The quantity of what the sample constitutes: bag of soil
A brief description of the sample: soil
From where was the sample collected: Job Site
Laboratory sample identification: CR20200513
Structure unique identifier: 02-SIS-97-PM 54.08
Structure name: Unknown
The fabricator/manufacturer/facility name: Caltrans

Material Information

The fabricator's/manufacturer's product name for the sample: RC-20-001
The fabricator/manufacturer designation for the sample: CMS Pole CIDH pile
A detailed description of where the material sample was collected: 15-16 feet depth
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 3

DIME Test ID: 2020-10-14-35-1
Test Method: CTM 643-April 2020: Method for Test for Laboratory Resistivity and pH for Soil and Water
Verified Date: 11/24/2020
Date Tested: 11/19/2020
Submitted By Organization: Wood
Organization Address: 9177 Sky Park Court,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92123
Organization Email: stephanie.antonucci@woodplc.com
Organization Phone: (916) 396-3815
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Minimum soil resistance corrected to 15.5 924.00 Ohm-cm
Minimum soil resistivity at 15.5 924 Ohm-cm
Minimum soil resistance of the lab measurement 825 Ohms
Soil sample temperature 20.3 C
pH of soil 6.88

Test 2 of 3

DIME Test ID: 2020-10-14-35-2
Test Method: CTM 417-June 2014: Method of Testing Soils and Waters for Sulfate Content
Verified Date: 11/24/2020
Date Tested: 11/23/2020
Submitted By Organization: Wood
Organization Address: 9177 Sky Park Court,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92123
Organization Email: stephanie.antonucci@woodplc.com
Organization Phone: (916) 396-3815
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Material type Soils
Amount of the analyte in the sample 27

Test 3 of 3

DIME Test ID: 2020-10-14-35-3
Test Method: CTM 422-June 2014: Method of Testing Soils and Waters for Chloride Content
Verified Date: 11/24/2020
Date Tested: 11/23/2020
Submitted By Organization: Wood
Organization Address: 9177 Sky Park Court,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92123
Organization Email: stephanie.antonucci@woodplc.com
Organization Phone: (916) 396-3815
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Material type Soils
Amount of the analyte in the sample 236