Project Information

Project ID: 1000101 DEA: 081J2904 EFIS: 0818000015 QA Service Level: 1

DIST-CO-RTE-PM: 08-RIV-215-25.0/R31.2

Work Description: RHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.

Location Description: RIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY

Contractor Name: COFFMAN SPECIALTIES, INC.

Contractor Address: 9685 Via Excelencia, Suite 200, San Diego, CA 92126

Resident Engineer: Mohamad Alsheikh Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-07-31-86

TL Number from the TL Form:

Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Sample Organization Contact: 9512323690

Type of Sample: Acceptance

Type of Material: Soil

Sample Taken Date: 07/31/2025

Date that the sample was received by the laboratory/organization performing the testing: 07/31/2025

The quantity of what the sample constitutes: 22.6 kg

A brief description of the sample: Native Subgrade

From where was the sample collected: Job Site

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION

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: SB I-215 to Ramona Expy Off-Ramp, Gore Area, Sta "AHD" 216+90

Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 2

DIME Test ID: 2025-07-31-86-1

Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages

Verified Date: 02/17/2026

Date Tested: 07/31/2025

Submitted By Organization: CT D08 - Fontana Field Testing Laboratory

Organization Address: 13970 Victoria Street,

Organization City: Fontana

Organization State: CA

Organization Zipcode: 92336

Organization Email: prakash.gowda@dot.ca.gov

Organization Phone: (951) 232-3690

General Comments for this Test: Density Spec 95%

Test Result Compliance: does not comply

Additional Comments When Verified:

Standard Count Density	1719 g/cc
Count or Density 1	1941 g/cc
Count or Density 2	2275 g/cc
Count or Density 3	2074 g/cc
Standard Count Moisture	643 g/cc
Moisture Count 1	108 g/cc
Moisture Count 2	106 g/cc
Moisture Count 3	106 g/cc
Sum of Count or Density	6290 g/cc
Average of Count or Density	2097 g/cc
Sum of Moisture Count	320 g/cc
Average of Moisture Count	107 g/cc
Count Ratio Density	1.22
Count Ratio Moisture	0.17
Calculated Percent Relative Compaction	93.5 %
Reported Percent Relative Compaction	94 %

Test 2 of 2

DIME Test ID: 2025-07-31-86-2

Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates