Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214341 DEA: 081J2004 EFIS: 0817000237
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R21.5/R22.0
Work Description: EXTEND DECELARATION LANE
Location Description: SAN BERNARDINO COUNTY NEAR HESPERIA FROM 0.1 MILE NORTH OF ROUTE 15/138 SEPARATION TO GISH OVERHEAD
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Shaun Loza Structure Rep.: Ravinder Singh
DIME Sample ID: 2022-12-19-15
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: 12/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/19/2022
The quantity of what the sample constitutes: 1000SQF
A brief description of the sample: Soil
From where was the sample collected: Job Site
Laboratory sample identification: 12192022 Test 01
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION
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: AT THE JOBSITE
Where the material sample would have been placed if not sampled:
DIME Test ID: 2022-12-19-15-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/23/2022
Date Tested: 12/19/2022
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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1856 g/cc
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Count or Density 1
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735 g/cc
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Count or Density 2
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747 g/cc
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Count or Density 3
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883 g/cc
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Standard Count Moisture
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585 g/cc
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Moisture Count 1
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79 g/cc
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Moisture Count 2
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100 g/cc
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Moisture Count 3
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98 g/cc
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Sum of Count or Density
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2365 g/cc
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Average of Count or Density
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788 g/cc
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Sum of Moisture Count
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277 g/cc
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Average of Moisture Count
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92 g/cc
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Count Ratio Density
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0.42
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Count Ratio Moisture
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0.16
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Calculated Percent Relative Compaction
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97 %
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Reported Percent Relative Compaction
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97 %
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