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Testing Report for 2014-02-12-14003290-2

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

Project Information

Project ID: 3825 DEA: 07138204 EFIS: 0700000142 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-47,103-3.5/4.6,0.0/1.1
Work Description: REPLACE STEEL BRIDGE WITH CIP PS CONCRETE BOX GIRDER BRIDGE AND RAMPS.
Location Description: LOS ANGELES COUNTY IN LONG BEACH AND LOS ANGELES ON ROUTE 47 FROM OCEAN BOULEVARD TO ROUTE 103 JUNCTION AND ON ROUTE 103 FROM ROUTE 47 JUNCTION TO ANAHEIM STREET OVERHEAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Daniel Leon Structure Rep.: Chen, Andy

Sample Information

DIME Sample ID: 2014-02-12-14003290
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Control
Type of Material: Soil
Sample Taken Date: 02/12/2014
Date that the sample was received by the laboratory/organization performing the testing: 02/14/2014
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Subgrade
From where was the sample collected: Source
Laboratory sample identification: 4068B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Subgrade under MSE Leveling Pad.

Material Information

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: Subgrade under MSE Leveling Pad.
Where the material sample would have been placed if not sampled:

Test Information

DIME Test ID: 2014-02-12-14003290-2
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Verified Date: 02/20/2015
Date Tested: 02/07/2014
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

Number of tests 1
Sand equivalent after temperature correction 5