Project Information

Project ID: 993387 DEA: 07323404 EFIS: 0716000064 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-5-R59.5/R67.9

Work Description: PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT.

Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING

Contractor Name: SECURITY PAVING COMPANY INC

Contractor Address: 13170 TELEFAIR AVE, SYLMAR, CA 91342

Resident Engineer: Oscar Osorio Structure Rep.: Chanh Tong

Sample Information

DIME Sample ID: 2025-07-01-38

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: 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: 357 SY

A brief description of the sample: Aggregate Base

From where was the sample collected: Job Site

Laboratory sample identification: 25-2137

Structure unique identifier:

Structure name: SB I-5 Approximately 2 Mile North of Templin off-ramp Sta 3519+82 to 3522+50

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: Aggregate Base

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:

Primary Aggregate Nominal Size: 3/4 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2025-07-01-38-1

Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages

Verified Date: 07/23/2025

Date Tested: 07/01/2025

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	2923 g/cc
Count or Density 1	1890 g/cc
Count or Density 2	1833 g/cc
Count or Density 3	1583 g/cc
Standard Count Moisture	1063 g/cc
Moisture Count 1	315 g/cc
Moisture Count 2	347 g/cc
Moisture Count 3	383 g/cc
Sum of Count or Density	5306 g/cc
Average of Count or Density	1768.67 g/cc
Sum of Moisture Count	1045 g/cc
Average of Moisture Count	348.33 g/cc
Calculated Percent Relative Compaction	95.4 %
Reported Percent Relative Compaction	95 %

Test 2 of 2

DIME Test ID: 2025-07-01-38-2

Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates