Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2022-03-15-3
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: 03/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2022
The quantity of what the sample constitutes: less than 1000 sq. yd.
A brief description of the sample: Structure Backfill Material
From where was the sample collected: Job Site
Laboratory sample identification: 22-0487
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Flatiron
The fabricator's/manufacturer's product name for the sample: Structural Backfill
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: from various location at structural backfill
Where the material sample would have been placed if not sampled:
DIME Test ID: 2022-03-15-3-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 03/15/2022
Date Tested: 03/15/2022
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) 817-0387
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Is oversize material
|
No
|
In-place wet density
|
1.88
|
Highest adjust wet density
|
2.13
|
Relative compaction
|
88
|
% Moisture
|
6.8 %
|
Optimum Moisture
|
10.8 %
|
DIME Test ID: 2022-03-15-3-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 03/15/2022
Date Tested: 03/15/2022
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) 817-0387
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Sum of Count or Density
|
5.64 g/cc
|
Average of Count or Density
|
1.88 g/cc
|
Sum of Moisture Count
|
0.37 g/cc
|
Average of Moisture Count
|
0.12 g/cc
|
Calculated Percent Relative Compaction
|
88.3 %
|
Reported Percent Relative Compaction
|
88 %
|