Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995193 DEA: 07356604 EFIS: 0719000026
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-605-R10.2/20.2
Work Description: LANE & SLAB REPLACEMENT, COLD PLANE & HMA OVERLAY.
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS, PICO RIVERA, WHITTIER, CITY OF INDUSTRY AND EL MONTE FROM TELEGRAPH ROAD UNDERCROSSING TO ROUTE 605/10 SEPARATION
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Ave, Sacramento, CA 95838
Resident Engineer: Jerome Arabe Structure Rep.: Tien Chu
DIME Sample ID: 2025-11-06-67
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 11/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/06/2025
The quantity of what the sample constitutes: 556 CY
A brief description of the sample: Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION
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: CTM 231 test location
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-11-06-67-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 11/24/2025
Date Tested: 11/06/2025
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Sum of Count or Density
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10860 g/cc
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Average of Count or Density
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3620 g/cc
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Sum of Moisture Count
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885 g/cc
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Average of Moisture Count
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295 g/cc
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Count Ratio Density
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2.16
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Count Ratio Moisture
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0.21
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Calculated Percent Relative Compaction
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97.7 %
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Reported Percent Relative Compaction
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98 %
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