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Sample Record for 2024-10-25-72

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

Project Information

Project ID: 994376 DEA: 044J4604 EFIS: 0415000351 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-116-11.8/R12.2
Work Description: REPLACE CURB RAMPS, SIDEWALK, DRIVEWAY, LIGHTING, & SIGNAL.
Location Description: SONOMA COUNTY AT GUERNEVILLE FROM BROOKSIDE LANE TO OLD RIVER ROAD
Contractor Name: CALIFORNIA HIGHWAY CONSTRUCTION GROUP, INC.
Contractor Address: 1647 Willow Pass Road #150, Concord, CA 94520
Resident Engineer: Leonard Brajnikoff Structure Rep.: Alireza "Ali" Jamalipour

Sample Information

DIME Sample ID: 2024-10-25-72
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: Soil
Sample Taken Date: 10/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/25/2024
The quantity of what the sample constitutes: < 2000 sqyd
A brief description of the sample: AB2
From where was the sample collected: Job Site
Laboratory sample identification: 532
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bodean Mark West Quarry

Material Information

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 11+60-12+77
Where the material sample would have been placed if not sampled:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-10-25-72-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/15/2025
Date Tested: 10/25/2024
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 2.19
Highest adjust wet density 2.3
Relative compaction 95
% Moisture no data
Optimum Moisture no data