Project Information

Project ID: 1000102 DEA: 081J8504 EFIS: 0818000122 QA Service Level: 1

DIST-CO-RTE-PM: 08-SBD-2,10,18,38,138,etc.-Var

Work Description: FURNISH SIGN STRUCTURE AND INSTALL CHANGEABLE MESSAGE SIGN SYSTEM.

Location Description: SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS

Contractor Name: POWELL CONSTRUCTORS INC

Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335

Resident Engineer: George Elzawy Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2025-11-06-109

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: 11/06/2025

Date that the sample was received by the laboratory/organization performing the testing: 11/06/2025

The quantity of what the sample constitutes: 27.4 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: SR-210 WB, MVP @ Location 12B, PM 4.64

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

Test Results

Test 1 of 2

DIME Test ID: 2025-11-06-109-1

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

Verified Date: 02/25/2026

Date Tested: 11/06/2025

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:

Test Result Compliance: complies

Additional Comments When Verified:

Standard Count Density	1810 g/cc
Count or Density 1	1038 g/cc
Count or Density 2	957 g/cc
Count or Density 3	1047 g/cc
Standard Count Moisture	663 g/cc
Moisture Count 1	136 g/cc
Moisture Count 2	166 g/cc
Moisture Count 3	165 g/cc
Sum of Count or Density	3042 g/cc
Average of Count or Density	1014 g/cc
Sum of Moisture Count	467 g/cc
Average of Moisture Count	156 g/cc
Count Ratio Density	0.56
Count Ratio Moisture	0.24
Calculated Percent Relative Compaction	95.2 %
Reported Percent Relative Compaction	95 %

Test 2 of 2

DIME Test ID: 2025-11-06-109-2

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