Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001403 DEA: 11430824 EFIS: 1119000162
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R66.2/R67.4
Work Description: PCC & HMA PAVING, SIGNS AND STRIPING, WSMS & AUTOMATED LANE CLOSURE.
Location Description: SAN DIEGO COUNTY ABOUT 12 MILES NORTH OF OCEANSIDE FROM 1.2 MILES SOUTH OF SAN ONOFRE COMMERCIAL VEHICLE ENFORCEMENT FACILITIES TO SAN ONOFRE COMMERCIAL VEHICLE ENFORCEMENT FACILITIES
Contractor Name: Montano Pipeline
Contractor Address: 231 Fourth Ave, Chula Vista, CA 91910
Resident Engineer: Rosemarie Pagunsan Structure Rep.: Allison Harizal
DIME Sample ID: 2026-08-19-1
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: 08/19/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2026
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Subgrade
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Subgrade
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: JPCP Section
Where the material sample would have been placed if not sampled:
DIME Test ID: 2026-08-19-1-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 08/26/2026
Date Tested: 08/20/2026
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
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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2.4
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Highest adjust wet density
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2.32
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Relative compaction
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103
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% Moisture
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3.9 %
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Optimum Moisture
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4 %
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