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Testing Report for 2020-08-13-22-6

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

Project Information

DEA: 034E62U4
EFIS: 0319000068
Project ID: 214572
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-18.5/24.2
Work Description: CONSTRUCT UC, MED BARRIER, DRAINAGE SYSTEMS & HMA OVERLAY.
Location Description: EL DORADO COUNTY IN AND NEAR PLACERVILLE FROM MOSQUITO ROAD UNDERCROSSING TO SCHNELL SCHOOL ROAD UNDERCROSSING AND FROM 0.2 MILE WEST OF STILL MEADOW ROAD TO 0.2 MILE EAST OF CARSON ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nathan Alterton
Structure Rep.: Raymand Macy

Sample Information

DIME Sample ID: 2020-08-13-22
TL Number from the TL Form: c765906
Sample Submitted By Organization: CT D03 - North Region Materials Lab
Sample Organization Contact: (530) 741-4238
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 8/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 8/14/2020
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4 inch HMA - A
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF20-035
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Aggregates - Grantline Plant

Material Information

Source Identification (SMARA or name of Pit): 91-34-0047
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Batch Plant Hot Bins
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:

Test Information

DIME Test ID: 2020-08-13-22-6
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 8/19/2020
Verified Date: 12/30/2020
Submitted By Organization: CT D03 - North Region Materials Lab
Organization Address: 5330 Arboga Rd,
Organization City: Olivehurst
Organization State: CA
Organization Zipcode: 95961
Organization Email: jeff.herbert@dot.ca.gov
Organization Phone: (530) 741-4238
General Comments for this Test: JMF20-035. Test date estimated.
Test Result Compliance: complies
Additional Comments When Verified : JMF20-035

Submitted Test Results

Plastic Index(PI): NP
Liquid Limit (LL): no data
Plastic Limit (PL): no data