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Sample Record for 2023-07-05-88

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

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

Sample Information

DIME Sample ID: 2023-07-05-88
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 Assurance
Type of Material: Aggregate
Sample Taken Date: 07/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/05/2023
The quantity of what the sample constitutes: 765 Sq ft
A brief description of the sample: Native Silty Sand
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: NB 99 N of Ave 264 OC Shoulder Ramp 10
The fabricator/manufacturer/facility name: Security Paving

Material Information

Source Identification (SMARA, name of Pit or Job Site): 0613000005
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: Job Site
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:

Test Results

Test 1 of 2

DIME Test ID: 2023-07-05-88-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 11/09/2023
Date Tested: 07/05/2023
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: does not comply
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.06
Highest adjust wet density 2.21
Relative compaction 93
% Moisture 0.1 %
Optimum Moisture 0.0 %

Test 2 of 2

DIME Test ID: 2023-07-05-88-3
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 11/09/2023
Date Tested: 07/05/2023
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: does not comply
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.06
Highest adjust wet density 2.21
Relative compaction 93
% Moisture no data
Optimum Moisture no data