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Sample Record for 2025-01-30-16

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

Project Information

Project ID: 993122 DEA: 07322304 EFIS: 0716000054 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-110-22.8
Work Description: CONSTRUCT AND REPLACE BRIDGE RAILS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES AT FIFTH STREET OVERCROSSING AND AT SIXTH STREET OVERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Edgar Herrera Structure Rep.: Peter Wang

Sample Information

DIME Sample ID: 2025-01-30-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 01/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2025
The quantity of what the sample constitutes: na
A brief description of the sample: Class 3 Agg Base
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CA Rasmussen Inc.

Material Information

Source Identification (SMARA, name of Pit or Job Site): Jobsite
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: Roadway
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2025-01-30-16-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/31/2025
Date Tested: 01/30/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.13
Highest adjust wet density 2.24
Relative compaction 95
% Moisture 10.9 %
Optimum Moisture 10.9 %

Test 2 of 2

DIME Test ID: 2025-01-30-16-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 01/31/2025
Date Tested: 01/30/2025
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Standard Count Density 1828 g/cc
Count or Density 1 2.13 g/cc
Count or Density 2 2.13 g/cc
Count or Density 3 2.14 g/cc
Standard Count Moisture 553 g/cc
Moisture Count 1 0.21 g/cc
Moisture Count 2 0.22 g/cc
Moisture Count 3 0.2 g/cc
Sum of Count or Density 6.4 g/cc
Average of Count or Density 2.13 g/cc
Sum of Moisture Count 0.63 g/cc
Average of Moisture Count 0.21 g/cc
Calculated Percent Relative Compaction 96 %
Reported Percent Relative Compaction 96 %