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Testing Report for 2019-04-10-19-8

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

Project Information

DEA: 09213404
EFIS: 0900000034
Project ID: 214135
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-29.9/41.8
Work Description: ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location Description: INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-04-10-19
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 4/10/2019
Date that the sample was received by the laboratory/organization performing the testing: 4/10/2019
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Native Material
From where was the sample collected: Job Site
Laboratory sample identification: 8541
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Caltrans Right of Way

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: Exisiting Grade
Where the material sample would have been placed if not sampled: Unknown

Test Information

DIME Test ID: 2019-04-10-19-8
Test Method: CTM 217-June 2011: Method of Test for Sand Equivalent
Date Tested: 4/12/2019
Verified Date: 5/8/2019
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: 2
Sand equivalent after temperature correction: 66