Project Information

Project ID: 215456 DEA: 07293604 EFIS: 0713000238 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-405-14.3/15.8

Work Description: CONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.

Location Description: LOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET

Contractor Name: ORTIZ ENTERPRISES, INC.

Contractor Address: 6 CUSHING SUITE 200, IRVINE CA 92618

Resident Engineer: Samuel Gallardo Structure Rep.: James Holloway

Sample Information

DIME Sample ID: 2023-03-13-19

TL Number from the TL Form:

Sample Submitted By Organization: Alta Vista Solutions - Whittier

Sample Organization Contact: (510) 542-9827

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 03/13/2023

Date that the sample was received by the laboratory/organization performing the testing: 03/13/2023

The quantity of what the sample constitutes: 17500 sqft

A brief description of the sample: Aggregate Base

From where was the sample collected: Job Site

Laboratory sample identification: 23-0270

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: n/a

Material Information

Source Identification (SMARA, name of Pit or Job Site): n/a

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: CTM 231 Test Holes

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 3/8 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-03-13-19-1

Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages

Verified Date: 03/31/2023

Date Tested: 03/13/2023

Submitted By Organization: Alta Vista Solutions - Whittier

Organization Address: 12409 Slauson Avenue, Suite I,

Organization City: Whittier

Organization State: CA

Organization Zipcode: 90606

Organization Email: nicholas.hoffmann@oneatlas.com

Organization Phone: (510) 542-9827

General Comments for this Test:

Test Result Compliance:

Additional Comments When Verified:

Standard Count Density	1699 g/cc
Count or Density 1	466 g/cc
Count or Density 2	456 g/cc
Count or Density 3	472 g/cc
Count or Density 4	412 g/cc
Count or Density 5	452 g/cc
Standard Count Moisture	664 g/cc
Moisture Count 1	163 g/cc
Moisture Count 2	168 g/cc
Moisture Count 3	161 g/cc
Moisture Count 4	172 g/cc
Moisture Count 5	166 g/cc
Sum of Count or Density	2258 g/cc
Average of Count or Density	452 g/cc
Sum of Moisture Count	830 g/cc
Average of Moisture Count	166 g/cc
Count Ratio Density	0.27
Count Ratio Moisture	0.25
Calculated Percent Relative Compaction	98.1 %
Reported Percent Relative Compaction	98 %

Test 2 of 2

DIME Test ID: 2023-03-13-19-2

Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates