Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214337 DEA: 080E33U4 EFIS: 0817000075
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-115-R7.3/R10.0
Work Description: ADD WB AUX & EB DECEL LANES, WIDEN I15 SW CONNECT,RAMPS/BRDG
Location Description: SAN BERNARDINO COUNTY IN ONTARIO FROM 0.2 MILE WEST OF CUCAMONGA CREEK BRIDGE TO MILLIKEN AVENUE
Contractor Name: Ames Construction
Contractor Address: 391 North Main Street, Suite 302, Corona, CA 92880
Resident Engineer: Denise Sostrom Structure Rep.: Matt Bruce
DIME Sample ID: 2022-07-01-9
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: 07/01/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/01/2022
The quantity of what the sample constitutes: 397 SQF
A brief description of the sample: Soil for structure backfill.
From where was the sample collected: Job Site
Laboratory sample identification: 07012022-01
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AT THE JOB SITE
The fabricator's/manufacturer's product name for the sample: OMAR G
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: AT THE JOBSITE
Where the material sample would have been placed if not sampled:
DIME Test ID: 2022-07-01-9-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 07/01/2022
Date Tested: 07/01/2022
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:
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Standard Count Density
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1833 g/cc
|
|
Count or Density 1
|
1034 g/cc
|
|
Count or Density 2
|
1074 g/cc
|
|
Count or Density 3
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1015 g/cc
|
|
Standard Count Moisture
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646 g/cc
|
|
Moisture Count 1
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111 g/cc
|
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Moisture Count 2
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112 g/cc
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|
Moisture Count 3
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112 g/cc
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Sum of Count or Density
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3123.00 g/cc
|
|
Average of Count or Density
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1041.00 g/cc
|
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Sum of Moisture Count
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335.00 g/cc
|
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Average of Moisture Count
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112.00 g/cc
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Count Ratio Density
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0.57
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Count Ratio Moisture
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0.17
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Calculated Percent Relative Compaction
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96 %
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Reported Percent Relative Compaction
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96 %
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