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Sample Record for 2024-08-02-96

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

Project Information

Project ID: 209109 DEA: 043G9004 EFIS: 0412000557 COOP: 042513 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116,121-46.0/46.7,5.8/R7.4
Work Description: MODIFY EXISTING STATE ROUTE 116,121 BONNEAU ROAD INTERSECTION FROM A 4 WAY STOP CONTROLLED INTERSECTION TO A ROUNDABOUT AND SIGNALIZED INTERSECTION.
Location Description: SONOMA COUNTY
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Fabio La Serna Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-08-02-96
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2024
The quantity of what the sample constitutes: 900 Sq. Ft.
A brief description of the sample: AB2
From where was the sample collected: Job Site
Laboratory sample identification: Pet-24-380
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SOILS PLUS

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-49-0045
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 collected: STA 704+50-705+10
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-08-02-96-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/16/2024
Date Tested: 08/02/2024
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.18
Highest adjust wet density 2.24
Relative compaction 97
% Moisture no data
Optimum Moisture no data

Test 2 of 2

DIME Test ID: 2024-08-02-96-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/16/2024
Date Tested: 08/02/2024
Submitted By Organization: CT D04 - Petaluma Field Laboratory
Organization Address: 5675 Gibraltar Drive,
Organization City: Pleasanton
Organization State: CA
Organization Zipcode: 94588
Organization Email: glenn.cea@dot.ca.gov
Organization Phone: (510) 385-6841
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 81116 g/cc
Average of Count or Density 27039 g/cc
Sum of Moisture Count 8742 g/cc
Average of Moisture Count 2914 g/cc
Count Ratio Density 0.85
Count Ratio Moisture 0.3
Calculated Percent Relative Compaction 97 %
Reported Percent Relative Compaction 97 %