Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993454 DEA: 040K8004 EFIS: 0416000141 COOP: 042892
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-13.7
Work Description: CONSTRUCT ROUNDABOUT, CURB RAMPS AND SW, SIGNAL AND LIGHTING SYSTEMS.
Location Description: MARIN COUNTY IN SAN RAFAEL AT FREITAS PARKWAY OVERCROSSING
Contractor Name: GHILOTTI BROS., INC.
Contractor Address: 525 JACOBY STREET, SAN RAFAEL CA 94901
Resident Engineer: Dawit Habteselassie Structure Rep.: Jeremy Light
DIME Sample ID: 2025-07-01-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 07/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/01/2025
The quantity of what the sample constitutes: 2 Cylinders
A brief description of the sample: Structural Backfill
From where was the sample collected: Job Site
Laboratory sample identification: Rich_25_281
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ghilotti Kastenia yard
The fabricator's/manufacturer's product name for the sample: Native Soil
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Job site
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-07-01-11-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 07/02/2025
Date Tested: 07/01/2025
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: Structural backfill Compaction test Passed
Test Result Compliance: complies
Additional Comments When Verified:
|
Is oversize material
|
No
|
|
In-place wet density
|
2.24
|
|
Highest adjust wet density
|
2.37
|
|
Relative compaction
|
95
|
|
% Moisture
|
11 %
|
|
Optimum Moisture
|
11 %
|
DIME Test ID: 2025-07-01-11-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 07/02/2025
Date Tested: 07/01/2025
Submitted By Organization: CT D04 - Richmond Field Laboratory
Organization Address: 3401 Regatta Boulevard,
Organization City: Richmond
Organization State: CA
Organization Zipcode: 94508
Organization Email: santiago.sequeira@dot.ca.gov
Organization Phone: (510) 385-7641
General Comments for this Test: RW-2 Compaction test passed
Test Result Compliance: complies
Additional Comments When Verified:
|
Standard Count Density
|
31569 g/cc
|
|
Count or Density 1
|
25368 g/cc
|
|
Count or Density 2
|
26331 g/cc
|
|
Count or Density 3
|
23836 g/cc
|
|
Standard Count Moisture
|
8613 g/cc
|
|
Moisture Count 1
|
2387 g/cc
|
|
Moisture Count 2
|
2170 g/cc
|
|
Moisture Count 3
|
2575 g/cc
|
|
Sum of Count or Density
|
75535 g/cc
|
|
Average of Count or Density
|
25178 g/cc
|
|
Sum of Moisture Count
|
7132 g/cc
|
|
Average of Moisture Count
|
2377 g/cc
|
|
Count Ratio Density
|
0.8
|
|
Count Ratio Moisture
|
0.28
|
|
Calculated Percent Relative Compaction
|
94.51 %
|
|
Reported Percent Relative Compaction
|
95 %
|
