Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001159 DEA: 043X2804 EFIS: 0425000226
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-121-
Work Description: Apply traffic control systems, perform digout, install earth retaining structures
Location Description:
Contractor Name: VALENTINE CORPORATION
Contractor Address: 111 PELICAN WAY, SAN RAFAEL, CA 94901
Resident Engineer: Paramdeep Brar Structure Rep.: Unknown
DIME Sample ID: 2025-06-04-142
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: 06/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2025
The quantity of what the sample constitutes: ~ 131 sqyd
A brief description of the sample: Subgarde
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Native
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: STA 11+50-12+57
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-06-04-142-1
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: 06/04/2025
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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2.14
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Highest adjust wet density
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2.19
|
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Relative compaction
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98
|
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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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