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Testing Report for 2014-03-14-8002439-5

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

Project Information

DEA: 07210804
EFIS:
Project ID: 3956
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-57,64-0
Work Description: CONSTRUCT TRAINING FACILITY
Location Description: IN LOS ANGELES COUNTY IN LOSANGELES AT MAINTENANCE EQUIPMENTTRAINING CENTER
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: SCOTT SYLVAN
Structure Rep.: ROGELIO MIRAMONTES

Sample Information

DIME Sample ID: 2014-03-14-8002439
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Soil
Sample Taken Date: 3/14/2014
Date that the sample was received by the laboratory/organization performing the testing: 3/14/2014
The quantity of what the sample constitutes: 1 Bag
A brief description of the sample: Soil
From where was the sample collected: Other
Laboratory sample identification: 4105B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: El Camino College

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: Jobsite
Where the material sample would have been placed if not sampled:

Test Information

DIME Test ID: 2014-03-14-8002439-5
Test Method: CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water
Date Tested: 3/21/2014
Verified Date: 2/20/2015
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

No reportable test results have been submitted for this test.