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Sample Record for 2024-04-29-22

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

Project Information

Project ID: 994297 DEA: 07336804 EFIS: 0717000014 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-118-R4.5/R9.1
Work Description: PLACE CONCRETE AND INSTALL RAILINGS.
Location Description: THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF TAMPA AVENUE TO WOODLEY AVENUE
Contractor Name: MARTINEZ LANDSCAPE CO. INC
Contractor Address: 12357 SAN FERNANDO ROAD, SYLMAR CA 91342
Resident Engineer: EFRAIM CHAVEZ Structure Rep.: Adriana Pimienta

Sample Information

DIME Sample ID: 2024-04-29-22
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Department Acceptance
Type of Material: Soil
Sample Taken Date: 04/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 04/29/2024
The quantity of what the sample constitutes: 59 sy
A brief description of the sample: Location#20 Stairs
From where was the sample collected: Job Site
Laboratory sample identification: 24-0809
Structure unique identifier:
Structure name: Location#20 Stairs
The fabricator/manufacturer/facility name: NA

Material Information

The fabricator's/manufacturer's product name for the sample: Structural Backfill
The fabricator/manufacturer designation for the sample: from various locations at SBF
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: Jobsite

Test Results

Test 1 of 2

DIME Test ID: 2024-04-29-22-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.

Test 2 of 2

DIME Test ID: 2024-04-29-22-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 04/29/2024
Date Tested: 04/29/2024
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.05
Highest adjust wet density 2.21
Relative compaction 93
% Moisture 7.5 %
Optimum Moisture 11.5 %