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Sample Record for 2022-06-04-8

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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: 2022-06-04-8
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: Aggregate
Sample Taken Date: 06/04/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2022
The quantity of what the sample constitutes: 5964 sqft
A brief description of the sample: CMB
From where was the sample collected: Job Site
Laboratory sample identification: 22-1354
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Flatiron Batch Plant - EB210 Paxton Offramp

Material Information

Source Identification (SMARA, name of Pit or Job Site): NA
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: CTM 231 Test Holes
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-06-04-8-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 06/05/2022
Date Tested: 06/05/2022
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:
Is oversize material No
In-place wet density 2.13
Highest adjust wet density 2.19
Relative compaction 97
% Moisture 10 %
Optimum Moisture 10 %

Test 2 of 2

DIME Test ID: 2022-06-04-8-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 06/05/2022
Date Tested: 06/05/2022
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 2158 g/cc
Count or Density 1 2.15 g/cc
Count or Density 2 2.12 g/cc
Count or Density 3 2.13 g/cc
Standard Count Moisture 639 g/cc
Moisture Count 1 0.22 g/cc
Moisture Count 2 0.17 g/cc
Moisture Count 3 0.19 g/cc
Sum of Count or Density 6.4 g/cc
Average of Count or Density 2.13 g/cc
Sum of Moisture Count 0.58 g/cc
Average of Moisture Count 0.19 g/cc
Calculated Percent Relative Compaction 97.4 %
Reported Percent Relative Compaction 97 %