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Testing Report for 2019-10-17-16-2

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

Project Information

DEA: 120M8204
EFIS: 1214000041
Project ID: 214706
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-1-7.9/10.5
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-10-17-16
TL Number from the TL Form: C936702
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 10/17/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2019
The quantity of what the sample constitutes: 1 BAG
A brief description of the sample: SOIL SAMPLE OF SUBGRADE 2'-4' DEPTH
From where was the sample collected: Job Site
Laboratory sample identification: 8771
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NATIVE SOIL

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: SR-01 PCH MB-07
Where the material sample would have been placed if not sampled: Unknown

Test Information

DIME Test ID: 2019-10-17-16-2
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Date Tested: 11/4/2019
Verified Date: 3/18/2020
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:
Additional Comments When Verified :

Submitted Test Results

Plastic Index(PI): 3
Liquid Limit (LL): 16 %
Plastic Limit (PL): 13 %