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Sample Record for 2022-01-12-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214524 DEA: 07304504 EFIS: 0714000067 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-57-R0.0/R4.5
Work Description: CONCRETE PAVEMENT, CONCRETE BARRIER, AND ELECTRICAL WORK.
Location Description: LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM ORANGE COUNTY LINE TO ROUTE 57/60 SEPARATION
Contractor Name: Griffith Company
Contractor Address: 3050 E. Birch Street, Brea, CA 92821
Resident Engineer: Martin Sandoval Structure Rep.: Avtar Bains

Sample Information

DIME Sample ID: 2022-01-12-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Soil
Sample Taken Date: 01/12/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/12/2022
The quantity of what the sample constitutes: 28cy
A brief description of the sample: Class 3 Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 22-0053
Structure unique identifier:
Structure name: Austin Vault
The fabricator/manufacturer/facility name: Griffith construction

Material Information

The fabricator's/manufacturer's product name for the sample: Structural Backfill
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: from various location at structural backfill
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-01-12-2-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.

Test 2 of 2

DIME Test ID: 2022-01-12-2-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/12/2022
Date Tested: 01/12/2022
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.03
Highest adjust wet density 2.23
Relative compaction 91
% Moisture 14.7 %
Optimum Moisture 14.7 %