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Sample Record for 2025-06-11-65

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Project Information

Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4
Work Description: US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA.
Location Description:
Contractor Name: GORDON N. BALL, INC.
Contractor Address: 333 CAMILLE AVENUE, ALAMO, CA 94507
Resident Engineer: Mohamed Fouad Structure Rep.: Bryan Nagid

Sample Information

DIME Sample ID: 2025-06-11-65
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Sample Organization Contact: (510) 385-8171
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 06/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2025
The quantity of what the sample constitutes: 2600g
A brief description of the sample: Native AB Backfill
From where was the sample collected: Job Site
Laboratory sample identification: SJ-061125-BF1
Structure unique identifier:
Structure name: Hwy 92 WB Lt "FI" Line Drainage System No. 2
The fabricator/manufacturer/facility name: Native Material

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: Jobsite - Compacted Native backfill
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-06-11-65-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 06/18/2025
Date Tested: 06/11/2025
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
General Comments for this Test: Hwy 92 WB Lt "FI" Line Drainage System No. 2
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 58765 g/cc
Average of Count or Density 19588 g/cc
Sum of Moisture Count 7999 g/cc
Average of Moisture Count 2666 g/cc
Calculated Percent Relative Compaction 96.6 %
Reported Percent Relative Compaction 97 %

Test 2 of 2

DIME Test ID: 2025-06-11-65-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 06/18/2025
Date Tested: 06/11/2025
Submitted By Organization: CT D04 - San Jose Construction Field Laboratory
Organization Address: 1007 Knox Avenue,
Organization City: San Jose
Organization State: CA
Organization Zipcode: 95122
Organization Email: fernando.vega@dot.ca.gov
Organization Phone: (510) 385-8171
General Comments for this Test: Hwy 92 WB Lt "FI" Line Drainage System No. 2
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.31
Highest adjust wet density 2.39
Relative compaction 97
% Moisture no data
Optimum Moisture no data