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Testing Report for 2018-05-15-34-2

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

Project Information

DEA: 023E7204
EFIS: 0200020154
Project ID: 212679
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-36-42.1/46.0
Work Description: COLD PLANING, PAVING, MINOR CONCRETE, ELECTRICAL AND STRIPING WORK.
Location Description: TEHAMA COUNTY IN AND NEAR RED BLUFF FROM EAST SAND SLOUGH BRIDGE TO 0.6 MILE EAST OF STICE ROAD
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Anthony Granados
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-05-15-34
TL Number from the TL Form: 847538
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 3/4-inch Type G Aggregate, Untreated
From where was the sample collected: Source
Laboratory sample identification: D77390F
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: Sized Untreated Aggregates
The fabricator/manufacturer designation for the sample: L180372
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: 3/4 inch
The concrete mix design number: JMF 18-08-S1
Lot number:
Sublot number:

Test Information

DIME Test ID: 2018-05-15-34-2
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 6/11/2018
Verified Date: 8/6/2018
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