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Sample Record for 2022-08-17-49

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

Project Information

Project ID: 215220 DEA: 07210624 EFIS: 0719000068 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Work Description: PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location Description: IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
Contractor Name: OHL USA
Contractor Address: 1920 Main Street, Suite 310, Irvine, California 92614
Resident Engineer: Michael Wang Structure Rep.: Ryan Valentine

Sample Information

DIME Sample ID: 2022-08-17-49
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Los Angeles
Sample Organization Contact: (909) 833-5780
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 08/17/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/17/2022
The quantity of what the sample constitutes: 300 Sq. Ft.
A brief description of the sample: Structural Backfill
From where was the sample collected: Job Site
Laboratory sample identification: 22-2155
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Existing Subgrade

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-placed material
Where the material sample would have been placed if not sampled:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-08-17-49-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
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
This test has been superseded on 08/23/2022. The corrected test ID is: 2022-08-17-49-3
Reason: retested

Test 2 of 3

DIME Test ID: 2022-08-17-49-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 08/23/2022
Date Tested: 08/17/2022
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: In-place wet density of 2.26 vs maximum wet density of 2.30.
Test Result Compliance:
Additional Comments When Verified:
Sum of Count or Density no data
Average of Count or Density no data
Sum of Moisture Count no data
Average of Moisture Count no data
Count Ratio Density no data
Count Ratio Moisture no data
Calculated Percent Relative Compaction 98.3 %
Reported Percent Relative Compaction 98 %

Test 3 of 3

DIME Test ID: 2022-08-17-49-3
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
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
Data has not been verified.