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Sample Record for 2022-01-17-5

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

Project Information

Project ID: 214573 DEA: 073096U4 EFIS: 0719000091 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R0.0/R9.7
Work Description: PLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 15335 FAIRFIELD RANCH ROAD, CHINO HILLS, CA 91709
Resident Engineer: Ridwan Salman Structure Rep.: Adriana Pimienta

Sample Information

DIME Sample ID: 2022-01-17-5
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Per Request
Type of Material: Soil
Sample Taken Date: 01/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/17/2022
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Native Material
From where was the sample collected: Job Site
Laboratory sample identification: 220067
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Native Material

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: In-place
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 2

DIME Test ID: 2022-01-17-5-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/18/2022
Date Tested: 01/17/2022
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Is oversize material Yes
In-place wet density no data
Corrected density 2.29
Relative compaction 95
% Moisture 14.8 %
Optimum Moisture no data

Test 2 of 2

DIME Test ID: 2022-01-17-5-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 01/18/2022
Date Tested: 01/17/2022
Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Organization Address: 620 South Magnolia Avenue, Building G,
Organization City: Ontario
Organization State: CA
Organization Zipcode: 91762
Organization Email: mdorsch@kleinfelder.com
Organization Phone: (909) 833-5780
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Sum of Count or Density 64596.00 g/cc
Average of Count or Density 12919.00 g/cc
Sum of Moisture Count 27626.00 g/cc
Average of Moisture Count 5525.00 g/cc
Count Ratio Density 1.42
Count Ratio Moisture 0.28
Calculated Percent Relative Compaction 94.7 %
Reported Percent Relative Compaction 95 %