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Sample Record for 2022-06-10-1

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

Project Information

Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2022-06-10-1
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: 06/10/2022
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2022
The quantity of what the sample constitutes: 480 sqft
A brief description of the sample: CMB
From where was the sample collected: Job Site
Laboratory sample identification: 22-1414
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Security Paving Company

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

Test 1 of 2

DIME Test ID: 2022-06-10-1-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 06/10/2022
Date Tested: 06/10/2022
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 2.00
Highest adjust wet density 2.26
Relative compaction 88
% Moisture 12.3 %
Optimum Moisture 10.3 %

Test 2 of 2

DIME Test ID: 2022-06-10-1-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 06/10/2022
Date Tested: 06/10/2022
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:
Standard Count Density 2172 g/cc
Count or Density 1 1.98 g/cc
Count or Density 2 2.02 g/cc
Count or Density 3 2.01 g/cc
Standard Count Moisture 636 g/cc
Moisture Count 1 0.21 g/cc
Moisture Count 2 0.23 g/cc
Moisture Count 3 0.22 g/cc
Sum of Count or Density 6.01 g/cc
Average of Count or Density 2.00 g/cc
Sum of Moisture Count 0.66 g/cc
Average of Moisture Count 0.22 g/cc
Calculated Percent Relative Compaction 88.6 %
Reported Percent Relative Compaction 89 %