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Sample Record for 2025-11-24-12

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

Project Information

Project ID: 1000103 DEA: 081J8604 EFIS: 0818000123 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10,15,40,58,60,etc.-Var
Work Description: MODIFYING CMS SYSTEMS AND FURNISH SIGN STRUCTURE (VERSATILE TRUSS).
Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Lawrance Yaacoub Structure Rep.: Matt Bruce

Sample Information

DIME Sample ID: 2025-11-24-12
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Acceptance
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: 16.5 kg
A brief description of the sample: Class II Base
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: MVP Location 20

Material Information

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: Job site, SB I-15 PM 70.78, MVP L-20
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 1

DIME Test ID: 2025-11-24-12-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 11/25/2025
Date Tested: 11/24/2025
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 4366 g/cc
Average of Count or Density 1455 g/cc
Sum of Moisture Count 220 g/cc
Average of Moisture Count 73 g/cc
Count Ratio Density 2.16
Count Ratio Moisture 0.08
Calculated Percent Relative Compaction 96 %
Reported Percent Relative Compaction 96 %