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Testing Report for 2019-06-19-23-5

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

Project Information

Project ID: 213746 DEA: 080Q75U4 EFIS: 0817000114 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD,RIV-60-R4.6/R9.9, R0.0/12.2
Work Description: REPLACEMENT OF TWO OUTSIDE LANES AND CONCRETE SLABS
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Ashraf Mohamed Structure Rep.: Chuang, Ching

Sample Information

DIME Sample ID: 2019-06-19-23
TL Number from the TL Form: 8623
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 06/19/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2019
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Soil Sample Native Selected
From where was the sample collected: Source
Laboratory sample identification: 8623
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Caltrans

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: A-19-009
Where the material sample would have been placed if not sampled: Unknown

Test Information

DIME Test ID: 2019-06-19-23-4
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 07/03/2019
Date Tested: 06/25/2019
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: 213-792-4794
General Comments for this Test:
Additional Comments When Verified:

Submitted Test Results

Plastic Index(PI) NP
Liquid Limit (LL) 0 %
Plastic Limit (PL) 0 %