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Sample Record for 2024-02-16-16

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

Project Information

Project ID: 995260 DEA: 061G0504 EFIS: 0623000195 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-VAR,(180),245-99/104, (99.0)/0.0/(104.0)/9.0
Work Description: Routes 180, 245 Emergency Slip Out Repair
Location Description:
Contractor Name: CAL VALLEY CONSTRUCTION
Contractor Address: 5125 N. Gates Ave, Ste 102, Fresno, CA 93722
Resident Engineer: Mark Mengoni Structure Rep.: Ramandeep Guraya

Sample Information

DIME Sample ID: 2024-02-16-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 417-5341
Type of Sample: Department Acceptance
Type of Material: Soil
Sample Taken Date: 02/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 02/16/2024
The quantity of what the sample constitutes: 1 Bucket
A brief description of the sample: Culvert backfill (AB)
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Frank C. & Ye Yang
The fabricator/manufacturer/facility name: Cal Valley Construction

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: PM. 6.85
Where the material sample would have been placed if not sampled:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-02-16-16-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 02/21/2024
Date Tested: 02/16/2024
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 3240 North Millbrook Avenue,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93726
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 417-5341
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.16
Highest adjust wet density 2.2
Relative compaction 98
% Moisture no data
Optimum Moisture no data