Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212246 DEA: 053307A4 EFIS: 0514000027
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-49.7/54.6
Work Description: Cholame Segment
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Andrew Borrelli Structure Rep.: Dave Lewis
DIME Sample ID: 2022-09-15-22
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 09/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/15/2022
The quantity of what the sample constitutes: 1099+00 - 1102+46 @ 52' Wide
A brief description of the sample: Class 1 ASB from roadway
From where was the sample collected: Job Site
Laboratory sample identification: 37057CL1ASB3
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SPM Avenal Plant
Source Identification (SMARA, name of Pit or Job Site): 91-10-0006
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Jobsite-windrow
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2022-09-15-22-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 09/15/2022
Date Tested: 09/15/2022
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material
|
Yes
|
In-place wet density
|
2.35
|
Percentage passing 3/4 in. sieve
|
89 %
|
Percentage retained on 3/4 in. sieve
|
11 %
|
Specific gravity of material passing 3/4 in. sieve
|
2.35
|
Specific gravity of material retained on 3/4 in. sieve
|
2.6 %
|
Coefficient for 3/4 in. aggregate
|
1.00
|
Corrected density
|
2.38
|
Relative compaction
|
99
|
% Moisture
|
no data
|
Optimum Moisture
|
no data
|