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Testing Report for 2014-11-26-2-3

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

Project Information

Project ID: 3958 DEA: 07215914 EFIS: 0700001831 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-1.2/2.1
Work Description: WIDEN AND REALIGN FREEWAY AND RECONSTRUCT OVERCROSSING STRUCTURE.
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS FROM 0.3 MILE SOUTH OF NORTH FORK COYOTE CREEK BRIDGE TO 0.3 MILE NORTH OF MARQUARDT AVENUE AND AT NORWALK HUB AND LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kelvin Tran Structure Rep.: LaLonde, Dan

Sample Information

DIME Sample ID: 2014-11-26-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 11/26/2014
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Backfill material
From where was the sample collected: Other
Laboratory sample identification: 4315B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Br 53 3037 Abut 1

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: Br 53 3037 Abut 1
Where the material sample would have been placed if not sampled: Unknown

Test Information

DIME Test ID: 2014-11-26-2-1
Test Method: CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates
Verified Date: 02/20/2015
Date Tested: 12/12/2014
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

Plastic Index(PI) Undetermined %
Liquid Limit (LL) Undetermined %
Plastic Limit (PL) Undetermined %