Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-R10.4/30.2
Work Description: Highway widening, overhead signs, and electronic toll system.
Location Description: In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Justen Tatum Structure Rep.: Kelsey Littell
DIME Sample ID: 2024-06-28-110
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: 06/28/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/28/2024
The quantity of what the sample constitutes: 40 square feet
A brief description of the sample: Structure Backfill Material
From where was the sample collected: Job Site
Laboratory sample identification: Con_24_488
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Native Material
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: Mason Bent 3 Center Footing
Where the material sample would have been placed if not sampled:
DIME Test ID: 2024-06-28-110-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 08/29/2024
Date Tested: 06/28/2024
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: STA. 00+00 to 00+40
Test Result Compliance: complies
Additional Comments When Verified:
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Sum of Count or Density
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60233 g/cc
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Average of Count or Density
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20078 g/cc
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Sum of Moisture Count
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7317 g/cc
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Average of Moisture Count
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2439 g/cc
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Count Ratio Density
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2.29
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Count Ratio Moisture
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2.3
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Calculated Percent Relative Compaction
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96.2 %
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Reported Percent Relative Compaction
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96 %
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