Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001165 DEA: 061H6304 EFIS: 0625000097
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-6-43.95
Work Description: The scope of work will include culvert replacement, pavement repair, traffic control, and pavement delineation.
Location Description: Fresno County, Rout I-5 at PM 43.95.
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 5771 S. Toyota Ave, Fresno, CA 93725
Resident Engineer: Mark Mengoni Structure Rep.: Unknown
DIME Sample ID: 2025-04-13-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 04/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/13/2025
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Class 2 Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Collected at jobsite
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: Pm. 43.95 under 24" RCP
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-04-13-7-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 04/15/2025
Date Tested: 04/13/2025
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
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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2.24
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Highest adjust wet density
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2.35
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Relative compaction
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95
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% Moisture
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no data
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Optimum Moisture
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no data
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