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: 2023-03-31-21

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: 03/31/2023

Date that the sample was received by the laboratory/organization performing the testing: 03/31/2023

The quantity of what the sample constitutes: 904 sqft

A brief description of the sample: Aggregate Base

From where was the sample collected: Job Site

Laboratory sample identification: 23-0340

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: 2023-03-31-21-1

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

Verified Date: 04/05/2023

Date Tested: 03/31/2023

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	1922 g/cc
Count or Density 1	1385 g/cc
Count or Density 2	1395 g/cc
Count or Density 3	1354 g/cc
Standard Count Moisture	622 g/cc
Moisture Count 1	195 g/cc
Moisture Count 2	197 g/cc
Moisture Count 3	165 g/cc
Sum of Count or Density	4134 g/cc
Average of Count or Density	1378 g/cc
Sum of Moisture Count	557 g/cc
Average of Moisture Count	186 g/cc
Count Ratio Density	0.72
Count Ratio Moisture	0.3
Calculated Percent Relative Compaction	97.3 %
Reported Percent Relative Compaction	97 %

Test 2 of 2

DIME Test ID: 2023-03-31-21-2

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