Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215425 DEA: 06360244 EFIS: 0613000005
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-30.6/35.2
Work Description: Widen Freeway & Bridge Construction (Concrete Bridge)
Location Description:
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 13170 TELFAIR AVE, SYLMAR, CA, 91342
Resident Engineer: Javier Huerta Structure Rep.: Ramandeep Guraya
DIME Sample ID: 2023-02-03-66
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Visalia Field Laboratory
Sample Organization Contact: (559) 341-4165
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 02/03/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/03/2023
The quantity of what the sample constitutes: 178 CY
A brief description of the sample: 3/4 Recycled Class 2 AB f-c
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: SB 99 Packwood Creek Shoulder
The fabricator/manufacturer/facility name: Security Paving
Source Identification (SMARA, name of Pit or Job Site): Unknown
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: SB 99 Packwood Creek Shoulder Aggregate
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2023-02-03-66-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 06/05/2023
Date Tested: 02/03/2023
Submitted By Organization: CT D06 - Visalia Field Laboratory
Organization Address: 8530 West Roosevelt Avenue,
Organization City: Visalia
Organization State: CA
Organization Zipcode: 93291
Organization Email: shoaib.ahmed@dot.ca.gov
Organization Phone: (559) 341-4165
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Is oversize material
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No
|
|
In-place wet density
|
2.31
|
|
Highest adjust wet density
|
2.35
|
|
Relative compaction
|
98
|
|
% Moisture
|
0.0 %
|
|
Optimum Moisture
|
2.0 %
|
