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Sample Record for 2026-01-13-2

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: 2026-01-13-2
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: 01/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/13/2026
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): 2

Test Results

Test 1 of 2

DIME Test ID: 2026-01-13-2-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/15/2026
Date Tested: 01/15/2026
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: Complies Elevation 517.75'
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 1.9
Highest adjust wet density 2.1
Relative compaction 90
% Moisture 16.6 %
Optimum Moisture 17 %

Test 2 of 2

DIME Test ID: 2026-01-13-2-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/21/2026
Date Tested: 01/15/2026
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: Complies Elevation 523.75'
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.06
Highest adjust wet density 2.08
Relative compaction 99
% Moisture 10.2 %
Optimum Moisture 10 %