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Sample Record for 2021-12-03-33

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Project Information

Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Jose Corona Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2021-12-03-33
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Sample Organization Contact: (760) 252-9216
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 12/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/03/2021
The quantity of what the sample constitutes: 17996 sqf
A brief description of the sample: Soil sta 6600 to 7000
From where was the sample collected: Job Site
Laboratory sample identification: 12032021 TEST 01
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: omar G G
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: AT THE JOB SITE
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 4

DIME Test ID: 2021-12-03-33-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 03/18/2022
Date Tested: 12/03/2021
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 4175 g/cc
Average of Count or Density 835 g/cc
Sum of Moisture Count 589 g/cc
Average of Moisture Count 118 g/cc
Count Ratio Density 0.45
Count Ratio Moisture 0.15
Calculated Percent Relative Compaction 98.2 %
Reported Percent Relative Compaction 89 %

Test 2 of 4

DIME Test ID: 2021-12-03-33-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/10/2021
Date Tested: 12/03/2021
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Standard Count Density 1871 g/cc
Count or Density 1 802 g/cc
Count or Density 2 798 g/cc
Count or Density 3 974 g/cc
Count or Density 4 772 g/cc
Count or Density 5 829 g/cc
Standard Count Moisture 645 g/cc
Moisture Count 1 111 g/cc
Moisture Count 2 115 g/cc
Moisture Count 3 112 g/cc
Moisture Count 4 112 g/cc
Moisture Count 5 129 g/cc
Sum of Count or Density 4175 g/cc
Average of Count or Density 835 g/cc
Sum of Moisture Count 579 g/cc
Average of Moisture Count 116 g/cc
Count Ratio Density 0.45
Count Ratio Moisture 0.18
Calculated Percent Relative Compaction 98.2 %
Reported Percent Relative Compaction 98 %

Test 3 of 4

DIME Test ID: 2021-12-03-33-3
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
Data has not been verified.

Test 4 of 4

DIME Test ID: 2021-12-03-33-4
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/10/2021
Date Tested: 12/03/2021
Submitted By Organization: CT D08 - Barstow Field Laboratory 1
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: kaushalkumar.talati@dot.ca.gov
Organization Phone: (951) 840-8328
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density no data
Highest adjust wet density no data
Relative compaction 98
% Moisture no data
Optimum Moisture 1 %