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Sample Record for 2024-06-25-113

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

Project Information

Project ID: 995061 DEA: 081J9104 EFIS: 0818000135 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV,SBD-10,15,60,62,91,etc.-Var
Work Description: MODIFYING CMS SYSTEMS, SIGN FOUNDATION AND SIGN STRUCTURE.
Location Description: RIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: Unknown
Resident Engineer: George Salloum Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-06-25-113
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 06/25/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2024
The quantity of what the sample constitutes: 20.2 kg
A brief description of the sample: Subgrade
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION

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: I-215 NB, Embankment next to Location 16 Sta 138+78 - 139+45
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: 2024-06-25-113-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 07/22/2024
Date Tested: 06/25/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Density Spec 90%
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 3065 g/cc
Average of Count or Density 1022 g/cc
Sum of Moisture Count 526 g/cc
Average of Moisture Count 175 g/cc
Count Ratio Density 0.55
Count Ratio Moisture 0.27
Calculated Percent Relative Compaction 94.7 %
Reported Percent Relative Compaction 95 %

Test 2 of 2

DIME Test ID: 2024-06-25-113-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 07/22/2024
Date Tested: 06/25/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Density Spec 90%
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.16
Highest adjust wet density 2.28
Relative compaction 95
% Moisture no data
Optimum Moisture no data