Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000276 DEA: 043Y8904 EFIS: 0423000327
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-128-29.77-33.45
Work Description: Slipout and drainage repairs.
Location Description: In Napa County from 1.8 Mile to 5.6 mile east of Wragg Creek bridge.
Contractor Name: Valentine Corporation (Megan Shalvis)
Contractor Address: 111 Pelican Way, San Rafael, CA 94901
Resident Engineer: Paramdeep Brar Structure Rep.: Mohammad Nasim
DIME Sample ID: 2024-11-07-37
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 11/07/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2024
The quantity of what the sample constitutes: Retaining Wall # 3
A brief description of the sample: Class II AB
From where was the sample collected: Job Site
Laboratory sample identification: Con_24_937
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cemex Madison
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: STA. 00+00 to 00+90
Where the material sample would have been placed if not sampled:
DIME Test ID: 2024-11-07-37-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 11/19/2024
Date Tested: 11/07/2024
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: does not comply
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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2.11
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Highest adjust wet density
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2.24
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Relative compaction
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94
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% Moisture
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5.5 %
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Optimum Moisture
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7.5 %
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