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Sample Record for 2022-10-07-23

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

Project Information

Project ID: 993340 DEA: 051J7504 EFIS: 0518000039 MINOR: 05A2318 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-90
Work Description: Install CMS Sign Structure US 101 NB 0.3 Miles N of Donovan Rd
Location Description: In Santa Maria
Contractor Name: Pelagic Engineering
Contractor Address: 3600 Harbor Blvd #85, Oxnard, CA 93035
Resident Engineer: Thomas Petersen Structure Rep.: Alex Martinez

Sample Information

DIME Sample ID: 2022-10-07-23
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 10/07/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/07/2022
The quantity of what the sample constitutes: MVP Area
A brief description of the sample: Type 2 AB
From where was the sample collected: Job Site
Laboratory sample identification: 221007A
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland-Garey

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: MVP
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-10-07-23-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 10/10/2022
Date Tested: 10/07/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: Complies 95% min (99%)
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.26
Highest adjust wet density 2.28
Relative compaction 99
% Moisture no data
Optimum Moisture 2.0 %

Test 2 of 2

DIME Test ID: 2022-10-07-23-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 10/10/2022
Date Tested: 10/07/2022
Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Organization Address: 2053 Preisker Lane, Suite E,
Organization City: Santa Maria
Organization State: CA
Organization Zipcode: 93427
Organization Email: salvador.lopez-zamora@dot.ca.gov
Organization Phone: (805) 748-3854
General Comments for this Test: MVP, Complies
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 4722.00 g/cc
Average of Count or Density 1574.00 g/cc
Sum of Moisture Count 336.00 g/cc
Average of Moisture Count 112.00 g/cc
Count Ratio Density 0.90
Count Ratio Moisture 0.16
Calculated Percent Relative Compaction 99.1 %
Reported Percent Relative Compaction 99 %