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Testing Report for 2020-11-13-10-3

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

Project Information

DEA: 07337801
EFIS: 0717000054
Project ID: 215342
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-SO/R17.1
Work Description: Roadside Safety Improvement
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-11-13-10
TL Number from the TL Form: C969487
Sample Submitted By Organization: Wood
Sample Organization Contact: (916) 396-3815
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 11/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2020
The quantity of what the sample constitutes: bag of soil
A brief description of the sample: Fill embankment
From where was the sample collected: Job Site
Laboratory sample identification: CR20200554
Structure unique identifier: 07-LA-101-4.84
Structure name: Changeable Message Sign
The fabricator/manufacturer/facility name: Caltrans

Material Information

The fabricator's/manufacturer's product name for the sample: HA-20-002
The fabricator/manufacturer designation for the sample: Foundation report
A detailed description of where the material sample was collected: 5 feet depth
Where the material sample would have been placed if not sampled:

Test Information

DIME Test ID: 2020-11-13-10-3
Test Method: CTM 422-June 2014: Method of Testing Soils and Waters for Chloride Content
Date Tested: 12/4/2020
Verified Date: 12/7/2020
Submitted By Organization: Wood
Organization Address: 9177 Sky Park Court,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92123
Organization Email: stephanie.antonucci@woodplc.com
Organization Phone: (916) 396-3815
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Material type: Soils
Amount of the analyte in the sample: 26