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: 2022-05-05-20
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: 05/05/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2022
The quantity of what the sample constitutes: 572 yd2
A brief description of the sample: Subgrade
From where was the sample collected: Job Site
Laboratory sample identification: 22-1031
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Flatiron
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample: Subgrade
A detailed description of where the material sample was collected: From various locations at subgrade.
Where the material sample would have been placed if not sampled:
DIME Test ID: 2022-05-05-20-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 05/31/2022
Date Tested: 05/05/2022
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:
Additional Comments When Verified:
Standard Count Density
|
2371 g/cc
|
Count or Density 1
|
2.27 g/cc
|
Count or Density 2
|
2.17 g/cc
|
Count or Density 3
|
2.3 g/cc
|
Standard Count Moisture
|
629 g/cc
|
Moisture Count 1
|
0.19 g/cc
|
Moisture Count 2
|
0.17 g/cc
|
Moisture Count 3
|
0.16 g/cc
|
Sum of Count or Density
|
6.74 g/cc
|
Average of Count or Density
|
2.25 g/cc
|
Sum of Moisture Count
|
0.52 g/cc
|
Average of Moisture Count
|
0.17 g/cc
|
Calculated Percent Relative Compaction
|
96.8 %
|
Reported Percent Relative Compaction
|
97 %
|
DIME Test ID: 2022-05-05-20-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
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
Data has not been verified.