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Testing Report for 2021-08-31-57-3

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

Project Information

DEA: 022J6204
EFIS: 0221000118
Project ID: 993330
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-265-19.801 to 20.328
Work Description: Weed Blvd Pavement - CAPM Pavement Preservation
Location Description: In Siskiyou County at and near Weed on Route 97 from Route 5 to 0.6 mile south of Whitney Creek Bridge and on Route 265 from Route 97 to Route 5. Loc-02-SIS-97-PM L0 to 11, 02-SIS-265-PM19.801 to 20.328
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-08-31-57
TL Number from the TL Form: 897759
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 8/31/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/1/2021
The quantity of what the sample constitutes: 2 bags for structural section recommendation
A brief description of the sample: Soil
From where was the sample collected: Job Site
Laboratory sample identification: D78934
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

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: 02 SIS 97 PM 0.10 50ft rt of CL Depth 0 to 1 ft
Where the material sample would have been placed if not sampled: 02 SIS 97 PM 0 and 1 tenth

Test Information

DIME Test ID: 2021-08-31-57-3
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 9/20/2021
Verified Date: 10/21/2021
Submitted By Organization: CT D02 - North Region Materials Lab
Organization Address: 1657 Riverside Dr,MS-83
Organization City: Redding
Organization State: CA
Organization Zipcode: 96001
Organization Email: ward.jenkins@dot.ca.gov
Organization Phone: (530) 225-3194
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

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