Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000514 DEA: 043Y5904 EFIS: 0423000264
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-680,680-1.47/24.26
Work Description: PLACE POLYESTER CONCRETE OVERLAY, GRIND BRIDGE DECK, AND PAVE SLOPE.
Location Description: CONTRA COSTA COUNTY AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST, LLC. DBA ACC WEST COAST
Contractor Address: Unknown
Resident Engineer: Ramin Kalantari Structure Rep.: John Parecadan
DIME Sample ID: 2025-11-24-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 11/24/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/24/2025
The quantity of what the sample constitutes: 2000 cy
A brief description of the sample: SubGrade
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Native Material
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: Abut 1
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-11-24-8-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 11/25/2025
Date Tested: 11/24/2025
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
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Is oversize material
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No
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In-place wet density
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1.89
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Highest adjust wet density
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2.14
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Relative compaction
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88
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% Moisture
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no data
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Optimum Moisture
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no data
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