Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209616 DEA: 024E4404 EFIS: 0200020285
QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-139-R10.7/28.0
Work Description: FULL DEPTH PAVEMENT RECLAMATION, HMA AND RUBBERIZED HMA.
Location Description: IN MODOC COUNTY ABOUT 17 MILES SOUTH OF NEWELL FROM 0.1 MILE NORTHOF BOLES ROAD TO 0.1 MILE SOUTH OF PEREZ ROAD.
Contractor Name: Hat Creek Construction
Contractor Address: 24339 Highway 89N, Burney, CA 96013
Resident Engineer: Jeff Steppat Structure Rep.: Unknown
DIME Sample ID: 2014-02-05-6815
TL Number from the TL Form:
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 02/05/2014
Date that the sample was received by the laboratory/organization performing the testing: 02/10/2014
The quantity of what the sample constitutes: 1 container
A brief description of the sample: Native Soil
From where was the sample collected: Source
Laboratory sample identification: D75700 / 847662
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Native
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Streambed
Where the material sample would have been placed if not sampled:
DIME Test ID: 2014-02-05-6815-1
Test Method: CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water
Verified Date: 07/14/2014
Date Tested: 02/10/2014
Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Organization Address: 1657 Riverside Drive,
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: 530-225-3194
General Comments for this Test: Only soil was tested. Water test results are invalid but included due to requirement by bad coding.
Test Result Compliance:
Additional Comments When Verified:
Oops.. looks like no test results have been submitted for the test.
