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Testing Report for 2016-03-22-6-1

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

Project Information

DEA: 050N7004
EFIS: 0500000225
Project ID: 212771
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-2-12.3
Work Description: (Alternative Delivery) South Coast 101 HOV Lanes
Location Description: On route 101m from 0.2 Miles South of Bailard Avenue in the City of Carpinteria to Sycamore Creek in the City of Santa Barbara (Construct HOV Lanes)
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2016-03-22-6
TL Number from the TL Form: C704874A
Sample Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Sample Organization Contact: (916) 227-7204
Type of Sample: Quality Control
Type of Material: Soil
Sample Taken Date: 3/22/2016
Date that the sample was received by the laboratory/organization performing the testing: 9/28/2017
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Foundation report
From where was the sample collected: Job Site
Laboratory sample identification: 17SOIL-0279
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA

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: R-16-041
Where the material sample would have been placed if not sampled: 25 ft

Test Information

DIME Test ID: 2016-03-22-6-1
Test Method: AGGLP SIEVE_ANALYSIS-1: Soils for Corrosion Sieve Analysis
Date Tested: 10/3/2017
Verified Date: 10/3/2017
Submitted By Organization: CT HQ - Sacramento Aggregate Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: bang.d.nguyen@dot.ca.gov
Organization Phone: (916) 227-7204
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Sum of coarse and fine aggregate: 813 grams
Cumulative percent passing the 2 in. sieve: 100 %
Cumulative percent passing the 1 1/2 in. sieve: 100 %
Cumulative percent passing the 1 in. sieve: 100 %
Cumulative percent passing the 3/4 in. sieve: 100 %
Cumulative percent passing the 1/2 in. sieve: 100 %
Cumulative percent passing the 3/8 in. sieve: 100 %
Cumulative percent passing the #4 sieve: 98 %
Cumulative percent passing the #8 sieve: 98 %