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Testing Report for 2019-10-02-30-4

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

Project Information

Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-115-R7.3/R10.0
Work Description: ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG
Location Description: SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Xavier Avila Structure Rep.: Bruce, Matt

Sample Information

DIME Sample ID: 2019-10-02-30
TL Number from the TL Form: C-7303-1
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: 10/02/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2019
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Soil
From where was the sample collected: Job Site
Laboratory sample identification: 8757
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: Rte 60 PM R7.4 - R9.9, A-19-001, Sample No. S-1
Where the material sample would have been placed if not sampled: Unknown

Test Information

DIME Test ID: 2019-10-02-30-3
Test Method: CTM 203-February 2008: Mechanical Analysis of Soils
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
Data has not been verified.