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Sample Record for 2025-11-10-7

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

Project Information

Project ID: 215620 DEA: 01436404 EFIS: 0100000193 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-35.8/36.5
Work Description: Dr. Fine Bridge Replacement
Location Description: DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
Contractor Name: MCM Construction
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Clayton Malmberg Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2025-11-10-7
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - Crescent City Field Laboratory
Sample Organization Contact: (707) 496-5581
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 11/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/10/2025
The quantity of what the sample constitutes: 100
A brief description of the sample: agg base bed for the north end DR,Finebridge abutments
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: DR,FINEBRIDGE
The fabricator/manufacturer/facility name: MCM

Material Information

Source Identification (SMARA, name of Pit or Job Site): Jobsite
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: North end abutment of dr,finebridge
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 1

DIME Test ID: 2025-11-10-7-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 11/10/2025
Date Tested: 11/10/2025
Submitted By Organization: CT D01 - Crescent City Field Laboratory
Organization Address: 1444 Parkway Dr.,
Organization City: Crescent City
Organization State: CA
Organization Zipcode: 95531
Organization Email: clayton.malmberg@dot.ca.gov
Organization Phone: (707) 496-5581
General Comments for this Test: test of 231 for the north end abutment @ DR,fine bridge is a fail on visual results only at this time standing water and pumping when walked on . i was asked to test the area 11/10/2025 and came to a failed result after witnessing the area .
Test Result Compliance: does not comply
Additional Comments When Verified:
Standard Count Density no data0 g/cc
Count or Density 1 no data0 g/cc
Standard Count Moisture no data0 g/cc
Moisture Count 1 no data0 g/cc
Sum of Count or Density no data0 g/cc
Average of Count or Density no data0 g/cc
Sum of Moisture Count no data0 g/cc
Average of Moisture Count no data0 g/cc
Count Ratio Density no data0
Count Ratio Moisture no data0
Calculated Percent Relative Compaction no data0 %
Reported Percent Relative Compaction no data0 %