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Sample Record for 2020-12-29-2

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

Project Information

Project ID: 215421 DEA: 042K9504 EFIS: 0417000057 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-101-
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-29-2
TL Number from the TL Form: C969978
Sample Submitted By Organization: Wood
Sample Organization Contact: (916) 396-3815
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 12/29/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2021
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: native soil
From where was the sample collected: Job Site
Laboratory sample identification: CR20210003
Structure unique identifier: 04-ALA-580 PM14.3
Structure name: D4 Mat Lab
The fabricator/manufacturer/facility name: Caltrans

Material Information

The fabricator's/manufacturer's product name for the sample: RW-20-002
The fabricator/manufacturer designation for the sample: Corrosion testing
A detailed description of where the material sample was collected: 0-5 feet depth
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 3

DIME Test ID: 2020-12-29-2-1
Test Method: CTM 417-June 2014: Method of Testing Soils and Waters for Sulfate Content
Verified Date: 02/22/2021
Date Tested: 01/27/2021
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 34

Test 2 of 3

DIME Test ID: 2020-12-29-2-2
Test Method: CTM 422-June 2014: Method of Testing Soils and Waters for Chloride Content
Verified Date: 02/22/2021
Date Tested: 01/27/2021
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 35

Test 3 of 3

DIME Test ID: 2020-12-29-2-3
Test Method: CTM 643-April 2020: Method for Test for Laboratory Resistivity and pH for Soil and Water
Verified Date: 02/22/2021
Date Tested: 01/18/2021
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 1118.00 Ohm-cm
Minimum soil resistivity at 15.5 1118 Ohm-cm
Minimum soil resistance of the lab measurement 1040 Ohms
Soil sample temperature 18.5 C
pH of soil 8.01

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.