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Sample Record for 2023-06-05-80

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

Project Information

Project ID: 993424 DEA: 04281204 EFIS: 0400000769 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29,221-5.5/6.7,0.0/0.2
Work Description: HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location Description: NAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
Contractor Name: Ghilloti Construction Co.
Contractor Address: 246 Ghilloti Ave, Santa Rosa CA 95407
Resident Engineer: Darren Isada Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-05-80
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 06/05/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2023
The quantity of what the sample constitutes: 2500 Grams
A brief description of the sample: Native
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Import Borrow

Material Information

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: G1 LINE
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-06-05-80-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/18/2023
Date Tested: 06/05/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Results reported to the inspector on 6-5-2023 @15:30 Hours
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material Yes
In-place wet density 2.1
Corrected density 2.16
Relative compaction 97
% Moisture 11.3 %
Optimum Moisture 13.3 %

Test 2 of 2

DIME Test ID: 2023-06-05-80-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/18/2023
Date Tested: 06/05/2023
Submitted By Organization: CT D04 - Concord Field Laboratory
Organization Address: 2525 Stanwell Drive, Suite 100,
Organization City: Concord
Organization State: CA
Organization Zipcode: 94520
Organization Email: gurind.joshi@dot.ca.gov
Organization Phone: (510) 714-7019
General Comments for this Test: Results reported to the inspector on 6-5-2023 @ 15:30 Hours
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 80678 g/cc
Average of Count or Density 26893 g/cc
Sum of Moisture Count 7489 g/cc
Average of Moisture Count 2496 g/cc
Count Ratio Density 30201
Count Ratio Moisture 9140
Calculated Percent Relative Compaction 97.05 %
Reported Percent Relative Compaction 97 %