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Sample Record for 2023-10-13-99

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

Project Information

Project ID: 994351 DEA: 07322004 EFIS: 0716000053 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-118-R11.0/R14.0
Work Description: CONSTRUCT STORMWATER TREATMENT DEVICES.
Location Description: THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF ARLETA AVENUE UNDERCROSSING TO 0.1 MILE WEST OF ROUTE 118/210 SEPARATION
Contractor Name: G&G Electric Inc.
Contractor Address: 4229 Giles Ct., Riverside, CA 92503
Resident Engineer: Wassem Bakhet Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-10-13-99
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: 10/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/13/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Native Material
From where was the sample collected: Source
Laboratory sample identification: 23-1671
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-10-13-99-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 02/01/2024
Date Tested: 10/13/2023
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 9942 g/cc
Count or Density 1 3768 g/cc
Count or Density 2 3896 g/cc
Count or Density 3 3684 g/cc
Standard Count Moisture 15740 g/cc
Moisture Count 1 3036 g/cc
Moisture Count 2 4820 g/cc
Moisture Count 3 3068 g/cc
Sum of Count or Density 11348 g/cc
Average of Count or Density 3782.67 g/cc
Sum of Moisture Count 10924 g/cc
Average of Moisture Count 3641.33 g/cc
Calculated Percent Relative Compaction 91.7 %
Reported Percent Relative Compaction 92 %

Test 2 of 2

DIME Test ID: 2023-10-13-99-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 02/01/2024
Date Tested: 10/13/2023
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:
Is oversize material No
In-place wet density 1.89
Highest adjust wet density 2.06
Relative compaction 92
% Moisture no data
Optimum Moisture no data