Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994109 DEA: 060W1704 EFIS: 0617000103
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-41-R27.4/R28.5
Work Description: REMOVE AC PAVEMENT, WIDEN TRAVEL WAY, AND CONSTRUCT RETAINING WALL.
Location Description: FRESNO COUNTY IN FRESNO FROM 0.1 MILE SOUTH OF ASHLAN AVENUE OVERCROSSING TO SHAW AVENUE OVERCROSSING
Contractor Name: RNR Construction, Inc
Contractor Address: 8589 Thys Court, Sacramento, CA,95828
Resident Engineer: Mark Mengoni Structure Rep.: Benjamin Holton
DIME Sample ID: 2024-09-16-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 09/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2024
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Native Soil
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cal Valley Construction
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: STATION "S1" 109+10 - 109+25
Where the material sample would have been placed if not sampled:
DIME Test ID: 2024-09-16-2-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 09/16/2024
Date Tested: 09/16/2024
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Is oversize material
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No
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In-place wet density
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2.04
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Highest adjust wet density
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2.11
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Relative compaction
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97
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% Moisture
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no data
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Optimum Moisture
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no data
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