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Testing Report for 2018-05-15-29-2

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

Project Information

DEA: 024F79U4
EFIS:
Project ID: 212887
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-151-5.5/R5.8
Work Description: HMA/RHMA PAVING AND ADA SIDEWALK WORK.
Location Description: SHASTA COUNTY IN SHASTA LAKE CITY FROM PANCAKE HILL DRIVE TO LOCUST AVENUE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Sunil Repaka
Structure Rep.: Jim Wood

Sample Information

DIME Sample ID: 2018-05-15-29
TL Number from the TL Form: 002178
Sample Submitted By Organization: CT D02 - North Region Materials Lab
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 5/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 5/15/2018
The quantity of what the sample constitutes: JMF Verification
A brief description of the sample: Lab-batched, 1/2-inch Type G Aggregate, Unreated
From where was the sample collected: Manufacturer
Laboratory sample identification: D77384
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Tullis Inc, Northstate Asphalt, Redding CA

Material Information

Source Identification (SMARA or name of Pit): 91-45-0057::SHASTA RANCH AGGREGATES
The fabricator's/manufacturer's product name for the sample: L180451
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Lab-batched from untreated stockpiles
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: JMF 18-11-S1
Lot number:
Sublot number:

Test Information

DIME Test ID: 2018-05-15-29-2
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 6/14/2018
Verified Date: 8/2/2018
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: complies
Additional Comments When Verified :

Submitted Test Results

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