Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000017 DEA: 042Q7004 EFIS: 0419000040
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-4-L0.0/R14.3
Work Description: REPLACE ASPHALT CONCRETE SURFACING AND INSTALL MGS.
Location Description: CONTRA COSTA COUNTY IN HERCULES AND CONCORD FROM SAN PABLO AVENUE TO ROUTE 4/242 SEPARATION
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Rabindra Mukherjee Structure Rep.: John K. Parecadan
DIME Sample ID: 2025-01-24-12
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: 01/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/24/2025
The quantity of what the sample constitutes: 667 SY
A brief description of the sample: Native material used as Structure Backfill
From where was the sample collected: Job Site
Laboratory sample identification: 25-4
Structure unique identifier:
Structure name: EB Cummings Skyway off Ramp
The fabricator/manufacturer/facility name: Unknown
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: Sampled Collected from compacted grade at job site
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-01-24-12-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/28/2025
Date Tested: 01/24/2025
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: 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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2.09
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Highest adjust wet density
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2.17
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Relative compaction
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96
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% Moisture
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18.1 %
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Optimum Moisture
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16.1 %
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