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Testing Report for 2021-04-05-28-6

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

Project Information

DEA: 032H6404
EFIS: 0317000167
Project ID: 214764
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-12,160-0.4/0.9,L10.5/R0.2
Work Description: MODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location Description: SACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Frank Cannizzaro
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-05-28
TL Number from the TL Form: C123456
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: 4/5/2021
Date that the sample was received by the laboratory/organization performing the testing: 4/6/2021
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: 3/4" (Nominal Size) Untreated Virgin Aggregate.
From where was the sample collected: Manufacturer
Laboratory sample identification: JMF21-011
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: George Reed Inc- Clements Batch Plant

Material Information

Source Identification (SMARA or name of Pit): 91-03-0020
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: 2021-04-05-28-6
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 4/23/2021
Verified Date: 5/10/2021
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: JMF21-011.
Test Result Compliance: complies
Additional Comments When Verified : JMF21-011

Submitted Test Results

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