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Testing Report for 2019-07-25-21-4

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

Project Information

DEA: 08443944
EFIS: 0800020180
Project ID: 211980
QA Service Level: 2
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nabil Fraywat
Structure Rep.: Kristi Twilley

Sample Information

DIME Sample ID: 2019-07-25-21
TL Number from the TL Form: 8655
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: 7/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 7/25/2019
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Native Soil
From where was the sample collected: Source
Laboratory sample identification: 8655
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Caltrans

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: A-19-004
Where the material sample would have been placed if not sampled: Unknown

Test Information

DIME Test ID: 2019-07-25-21-4
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 7/29/2019
Verified Date: 9/23/2019
Submitted By Organization: CT - Southern Regional Laboratory
Organization Address: 13970 Victoria St,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: not applicable
Additional Comments When Verified :

Submitted Test Results

Plastic Index(PI): 2
Liquid Limit (LL): 20 %
Plastic Limit (PL): 18 %