Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000430 DEA: 060Y1804 EFIS: 0619000005 COOP: 061796
QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-145-8.0/12.0
Work Description: Place HMA (Type A), minor concrete sidewalk, lighting (city streets)
Location Description: CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY IN AND NEAR MADERA FROM 0.1 MILE SOUTH OF AVENUE 13 TO 0.1 MILE SOUTH OF EAST MADERA UNDERPASS
Contractor Name: Cal Valley Construction, Inc. (Chris Grimm)
Contractor Address: 5125 N Gates Avenue, Fresno, CA 93722
Resident Engineer: Chantha Chap Structure Rep.: None None
DIME Sample ID: 2026-07-30-36
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 07/30/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/30/2026
The quantity of what the sample constitutes: 5 gallon bucket
A brief description of the sample: Native Soil
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cal Valley Construction
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: STA 62+61.85 to 65+24.38
Where the material sample would have been placed if not sampled:
DIME Test ID: 2026-07-30-36-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 07/31/2026
Date Tested: 07/30/2026
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 341-3953
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Is oversize material
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No
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In-place wet density
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2.02
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Highest adjust wet density
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2.23
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Relative compaction
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91
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% Moisture
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no data
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Optimum Moisture
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no data
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