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Sample Record for 2025-04-10-41

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

Project Information

Project ID: 1000028 DEA: 081J8404 EFIS: 0818000121 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40,58,62,95-Var
Work Description: INSTALL CMS SYSTEM, FURNISH SIGN STRUCTURE, AND SIGN FOUNDATION.
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 CONSTRUCTION CIRCLE WEST, IRVINE, CA 92606
Resident Engineer: Khoa Nguyen Structure Rep.: Alex Naime

Sample Information

DIME Sample ID: 2025-04-10-41
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 04/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/10/2025
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Subgrade
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: N/A

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: Pad
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 2

DIME Test ID: 2025-04-10-41-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 05/13/2025
Date Tested: 04/09/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 1736 g/cc
Average of Count or Density 1030 g/cc
Sum of Moisture Count 751 g/cc
Average of Moisture Count 132 g/cc
Calculated Percent Relative Compaction 90.4 %
Reported Percent Relative Compaction 90 %

Test 2 of 2

DIME Test ID: 2025-04-10-41-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 05/13/2025
Date Tested: 04/10/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.06
Highest adjust wet density 2.28
Relative compaction 90
% Moisture no data
Optimum Moisture no data