Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001176 DEA: 042Q5204 EFIS: 0419000021
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-29-0.0/6.0
Work Description: HMA PVMT, MOD DRAINAGE, SIGNALS, SIDEWALKS, CURB RAMPS AND LANDSCAPE.
Location Description: SOLANO COUNTY IN VALLEJO FROM 0.2 MILE NORTH OF ROUTE 80/ 29 SEPARATION TO NAPA COUNTY LINE
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Tran Quang Structure Rep.: Unknown
DIME Sample ID: 2025-12-01-16
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: 12/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/01/2025
The quantity of what the sample constitutes: ~ 50 sqyd
A brief description of the sample: AB2
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bay Cities
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: Indiana Avenue Curb Ramp
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-12-01-16-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/02/2025
Date Tested: 12/01/2025
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: complies
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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2.12
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Highest adjust wet density
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2.19
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Relative compaction
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97
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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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