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Sample Record for 2025-06-17-96

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

Project Information

Project ID: 215220 DEA: 07210624 EFIS: 0719000068 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Work Description: PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location Description: IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
Contractor Name: OHL USA
Contractor Address: 1920 Main Street, Suite 310, Irvine, California 92614
Resident Engineer: Michael Wang Structure Rep.: Ryan Valentine

Sample Information

DIME Sample ID: 2025-06-17-96
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: 06/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2025
The quantity of what the sample constitutes: 1200 SY
A brief description of the sample: Embankment backFill
From where was the sample collected: Job Site
Laboratory sample identification: 25-2018
Structure unique identifier:
Structure name: SB RTE-71 Mainline (Near Rio Rancho Rd)
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: Embankment 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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-06-17-96-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 06/25/2025
Date Tested: 06/25/2025
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 1824 g/cc
Count or Density 1 390 g/cc
Count or Density 2 401 g/cc
Count or Density 3 317 g/cc
Count or Density 4 347 g/cc
Count or Density 5 335 g/cc
Standard Count Moisture 615 g/cc
Moisture Count 1 125 g/cc
Moisture Count 2 145 g/cc
Moisture Count 3 124 g/cc
Moisture Count 4 185 g/cc
Moisture Count 5 138 g/cc
Sum of Count or Density 1790 g/cc
Average of Count or Density 358 g/cc
Sum of Moisture Count 717 g/cc
Average of Moisture Count 143.4 g/cc
Calculated Percent Relative Compaction 93.3 %
Reported Percent Relative Compaction 93 %

Test 2 of 2

DIME Test ID: 2025-06-17-96-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 06/25/2025
Date Tested: 06/17/2025
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 2.09
Highest adjust wet density 2.26
Relative compaction 92
% Moisture 10.6 %
Optimum Moisture 11.6 %