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Sample Record for 2025-04-04-28

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

Project Information

Project ID: 995206 DEA: 07354804 EFIS: 0718000356 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5808-
Work Description: BUILDING WORK.
Location Description: LOS ANGELES COUNTY IN CULVER CITY AT THE CULVER CITY MAINTENANCE STATION AT 5650 SELMARAINE DRIVE
Contractor Name: MERCER FRASER COMPANY
Contractor Address: Unknown
Resident Engineer: Hakim Sheik Structure Rep.: Frank Lotfi

Sample Information

DIME Sample ID: 2025-04-04-28
TL Number from the TL Form:
Sample Submitted By Organization: Alta Vista Solutions - Whittier
Sample Organization Contact: (510) 542-9827
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 04/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/04/2025
The quantity of what the sample constitutes: 80 SY
A brief description of the sample: Structural Backfill
From where was the sample collected: Job Site
Laboratory sample identification: 25-1089
Structure unique identifier:
Structure name: Structural Backfill "Rock Dust" for New Storage Building 2
The fabricator/manufacturer/facility name: N/A

Material Information

Source Identification (SMARA, name of Pit or Job Site): N/A
The fabricator's/manufacturer's product name for the sample: Structural backfill
The fabricator/manufacturer designation for the sample: Compaction Testing
The plant number:
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: Jobsite
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2025-04-04-28-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 04/23/2025
Date Tested: 04/04/2025
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Standard Count Density 1664 g/cc
Count or Density 1 301 g/cc
Count or Density 2 299 g/cc
Count or Density 3 291 g/cc
Standard Count Moisture 670 g/cc
Moisture Count 1 149 g/cc
Moisture Count 2 123 g/cc
Moisture Count 3 130 g/cc
Sum of Count or Density 891 g/cc
Average of Count or Density 297 g/cc
Sum of Moisture Count 402 g/cc
Average of Moisture Count 134 g/cc
Calculated Percent Relative Compaction 95.4 %
Reported Percent Relative Compaction 95 %

Test 2 of 2

DIME Test ID: 2025-04-04-28-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 04/23/2025
Date Tested: 04/04/2025
Submitted By Organization: Alta Vista Solutions - Whittier
Organization Address: 12409 Slauson Avenue, Suite I,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90606
Organization Email: nicholas.hoffmann@oneatlas.com
Organization Phone: (510) 542-9827
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.28
Highest adjust wet density 2.39
Relative compaction 95
% Moisture 8.1 %
Optimum Moisture 9.6 %