Summary for Test 2021-04-05-28-6

Test performed: CTM 204-June 2010

Project Information

Project IdentifiersProject ID: 214764
DEA: 032H6404
EFIS: 0317000167
DIST-CO-RTE-PM03-SAC-12,160-0.4/0.9,L10.5/R0.2
Award Date05/20/2020
Closeout Date05/11/2022
Work DescriptionMODIFY SIGNAL AND LIGHTING SYSTEM, PLACE RHMA AND ROADWAY EXCAVATION.
Location DescriptionSACRAMENTO COUNTY NEAR RIO VISTA ON ROUTE 12 FROM 0.6 MILE EAST OF SACRAMENTO RIVER BRIDGE TO 5.2 MILES WEST OF MOKELUMNE RIVER BRIDGE AND ON ROUTE 160 FROM 3.6 MILES NORTH OF THREE MILE SLOUGH BRIDGE TO 2.7 MILES SOUTH OF CIRCLE DRIVE
QA Service Level1 (Verified on 03/24/2020)

Sample Information

Sample Taken Date04/05/2021 Sample Unique Key28
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing04/06/2021
Sample typeVerification A brief description of the sample3/4" (Nominal Size) Untreated Virgin Aggregate.
The quantity of what the sample constitutesJMF Verification From where was the sample collectedManufacturer
First name of sampler or witnessed byGeorge Reed Personnel (SAMPLER) Last name of sampler or witnessed by Moses Onejeme (WITNESS)
Title of sampler Telephone number of sampler
Laboratory sample identificationJMF21-011 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGeorge Reed Inc- Clements Batch Plant Transportation Laboratory (TL) NumberC123456
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-03-0020::JACKSON VALLEY QUARRY
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBatch Plant Hot Bins
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID JMF3513-2021-50

Test Details

DIME Sample ID: 2021-04-05-28
DIME Test ID: 2021-04-05-28-6
Testing Lab: CT D03 - Olivehurst Northern Regional Laboratory
Test Method: CTM 204-June 2010: Method of Test for Liquid Limit, Plastic Limit and Plasticity Index of Soils (Plasticity Index)
Test Release Date: 2021-05-10

Test Results


The test method used?: Plastic Index
Input Type: Calculated
Tester's full name: Jeff Herbert
Date of test: 04/23/2021
Liquid Limit (LL): 0 %
Plastic Limit (PL): 0 %
Plastic Index(PI):0
General comments (publicly viewable) (Max 1000 characters): JMF21-011.

Test was verified on 5/10/2021