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Sample Record for 2025-12-17-18

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

Project Information

Project ID: 1000683 DEA: 11056404 EFIS: 1124000359 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11-0.6/2.7
Work Description: PERFORM GRADING, CONSTRUCT DRAINAGE FACILITIES, SIGNS AND STRIPING.
Location Description: SAN DIEGO COUNTY NEAR SAN DIEGO FROM 0.2 MILE WEST OF SANYO AVENUE UNDERCROSSING TO 0.2 MILE EAST OF SIEMPRE VIVA ROAD OVERCROSSING
Contractor Name: HAZARD CONSTRUCTION ENGR, LLC
Contractor Address: Unknown
Resident Engineer: Steve McMillan Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-17-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 12/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/17/2025
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Fill
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: N/A

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: Source
Where the material sample would have been placed if not sampled:
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2025-12-17-18-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/07/2026
Date Tested: 12/24/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Elevation 519.0, Complies Test 1
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.05
Highest adjust wet density 2.17
Relative compaction 94
% Moisture 13.9 %
Optimum Moisture 15.9 %

Test 2 of 5

DIME Test ID: 2025-12-17-18-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/07/2026
Date Tested: 12/24/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Elevation 519.5, Complies Test 2
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 1.99
Highest adjust wet density 2.13
Relative compaction 93
% Moisture 17.6 %
Optimum Moisture 19.6 %

Test 3 of 5

DIME Test ID: 2025-12-17-18-3
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 7177 Opportunity Road,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92111
Organization Email: D11PlantServices@dot.ca.gov
Organization Phone: (858) 518-8709
This test has been superseded on 01/08/2026. The corrected test ID is: 2025-12-17-18-5
Reason: corrected

Test 4 of 5

DIME Test ID: 2025-12-17-18-4
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/08/2026
Date Tested: 12/24/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Elevation 528.7, Complies Test 4
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 1.72
Highest adjust wet density 1.81
Relative compaction 95
% Moisture 10.5 %
Optimum Moisture 10.5 %

Test 5 of 5

DIME Test ID: 2025-12-17-18-5
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/08/2026
Date Tested: 12/24/2025
Submitted By Organization: CT D11 - District 11 Materials Laboratory
Organization Address: 4050 Taylor Street,
Organization City: San Diego
Organization State: CA
Organization Zipcode: 92110
Organization Email: benjamin.haney@dot.ca.gov
Organization Phone: (858) 688-1595
General Comments for this Test: Elevation 528.25, Complies Test 3
The test was superseded from test ID: 2025-12-17-18-3
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 1.74
Highest adjust wet density 1.82
Relative compaction 96
% Moisture 9.4 %
Optimum Moisture 11.4 %