Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000245 DEA: 072XN104 EFIS: 0724000222
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-150-
Work Description: Retaining wall repair due to landslide emergency at Route 150 in Santa Paula.
Location Description: Route 150 in Santa Paula.
Contractor Name: R&R Demo and Grading
Contractor Address: 21777 VENTURA BLVD SUITE 245, WOODLAND HILLS, CA 91364
Resident Engineer: Joseph Tehrani Structure Rep.: Waheed Mirpoor
DIME Sample ID: 2025-12-02-13
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: 12/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/02/2025
The quantity of what the sample constitutes: 124 CY
A brief description of the sample: Structure Backfill
From where was the sample collected: Job Site
Laboratory sample identification: 25-3782
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Structure Backfill
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: 2025-12-02-13-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/03/2025
Date Tested: 12/02/2025
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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862 g/cc
|
|
Average of Count or Density
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287 g/cc
|
|
Sum of Moisture Count
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629 g/cc
|
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Average of Moisture Count
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210 g/cc
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|
Count Ratio Density
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2.1
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Count Ratio Moisture
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0.25
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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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