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Testing Report for 2014-04-09-14004205-3

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

Project Information

Project ID: 5266 DEA: 08448404 EFIS: 0800000712 COOP: 081488A1 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-91-15.6/21.6
Work Description: CONSTRUCT HOV LANES AND WIDEN BRIDGES.
Location Description: RIVERSIDE COUNTY IN RIVERSIDE FROM ADAMS STREET TO THE ROUTE 60/215 SEPARATION
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Joseph Lopez Structure Rep.: Al-Hakem Alina

Sample Information

DIME Sample ID: 2014-04-09-14004205
TL Number from the TL Form:
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: 04/09/2014
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2014
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Soil for Structure Backfill.
From where was the sample collected: Source
Laboratory sample identification: 4123B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RW 389

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: RW 389 (MSE Wall) University on Ramp 91 WB
Where the material sample would have been placed if not sampled:

Test Information

DIME Test ID: 2014-04-09-14004205-3
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Verified Date: 02/20/2015
Date Tested: 04/11/2014
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:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of tests 1
Sand equivalent after temperature correction 36