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Sample Record for 2025-06-04-20

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

Project Information

Project ID: 1000301 DEA: 07333704 EFIS: 0716000316 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-138-43.4/51.4
Work Description: CONSTRUCT ADA CURB RAMPS, SIDEWALK, AND DRIVEWAY.
Location Description: LOS ANGELES COUNTY IN PALMDALE FROM ROUTE 14 JUNCTION (SOUTH) TO AVENUE T
Contractor Name: A. M. CONCRETE, INC.
Contractor Address: 3075 Townsgate Road, Suite 200, Westlake Village, CA 91361
Resident Engineer: Roberto Martinez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-06-04-20
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 Assurance
Type of Material: Soil
Sample Taken Date: 06/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2025
The quantity of what the sample constitutes: 157 yd2
A brief description of the sample: Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 15-1816
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: N/A

Material Information

The fabricator's/manufacturer's product name for the sample: Aggregate Base
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: From various locations at Aggregate Base
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 2

DIME Test ID: 2025-06-04-20-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 07/08/2025
Date Tested: 06/04/2025
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:
Additional Comments When Verified:
Standard Count Density 1966 g/cc
Count or Density 1 1.99 g/cc
Count or Density 2 2 g/cc
Count or Density 3 1.99 g/cc
Standard Count Moisture 662 g/cc
Moisture Count 1 0.27 g/cc
Moisture Count 2 0.33 g/cc
Moisture Count 3 0.3 g/cc
Sum of Count or Density 5.98 g/cc
Average of Count or Density 1.99 g/cc
Sum of Moisture Count 0.9 g/cc
Average of Moisture Count 0.3 g/cc
Calculated Percent Relative Compaction 96 %
Reported Percent Relative Compaction 96 %

Test 2 of 2

DIME Test ID: 2025-06-04-20-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
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
Data has not been verified.