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Sample Record for 2022-10-19-12

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

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: 2022-10-19-12
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: Acceptance
Type of Material: Soil
Sample Taken Date: 10/19/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/19/2022
The quantity of what the sample constitutes: 13440 SF
A brief description of the sample: Subgrade
From where was the sample collected: Job Site
Laboratory sample identification: 22-2786
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA

Material Information

The fabricator's/manufacturer's product name for the sample: Subgrade
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Various locations
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 2

DIME Test ID: 2022-10-19-12-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 10/19/2022
Date Tested: 10/19/2022
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: WB 210 Lane # 4 Mainline, Stage 7 Before Yarnell Off-Ramp Sta. 61+00 to Sta. 70+60
Test Result Compliance:
Additional Comments When Verified:
Standard Count Density 2321 g/cc
Count or Density 1 2.15 g/cc
Count or Density 2 2.2 g/cc
Count or Density 3 2.3 g/cc
Count or Density 4 2.17 g/cc
Count or Density 5 2.21 g/cc
Standard Count Moisture 642 g/cc
Moisture Count 1 0.12 g/cc
Moisture Count 2 0.15 g/cc
Moisture Count 3 0.12 g/cc
Moisture Count 4 0.11 g/cc
Moisture Count 5 0.12 g/cc
Sum of Count or Density 11.03 g/cc
Average of Count or Density 2.21 g/cc
Sum of Moisture Count 0.62 g/cc
Average of Moisture Count 0.12 g/cc
Calculated Percent Relative Compaction 95.9 %
Reported Percent Relative Compaction 96 %

Test 2 of 2

DIME Test ID: 2022-10-19-12-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 10/19/2022
Date Tested: 10/19/2022
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: WB 210 Lane # 4 Mainline, Stage 7 Before Yarnell Off-Ramp Sta. 61+00 to Sta. 70+60
Test Result Compliance:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.21
Highest adjust wet density 2.3
Relative compaction 96
% Moisture 6.0 %
Optimum Moisture no data