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Sample Record for 2022-10-08-13

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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: 2022-10-08-13
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: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2022
The quantity of what the sample constitutes: 9,450 Square Feet
A brief description of the sample: Class 3 Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 22-2690
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: n/a

Material Information

Source Identification (SMARA, name of Pit or Job Site): N/a
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: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2022-10-08-13-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 10/27/2022
Date Tested: 10/08/2022
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 11192 g/cc
Count or Density 1 19597 g/cc
Count or Density 2 17437 g/cc
Count or Density 3 19212 g/cc
Count or Density 4 18350 g/cc
Count or Density 5 18465 g/cc
Standard Count Moisture 19536 g/cc
Moisture Count 1 3897 g/cc
Moisture Count 2 4588 g/cc
Moisture Count 3 4329 g/cc
Moisture Count 4 4588 g/cc
Moisture Count 5 4211 g/cc
Sum of Count or Density 93061 g/cc
Average of Count or Density 18612 g/cc
Sum of Moisture Count 21613 g/cc
Average of Moisture Count 4323 g/cc
Count Ratio Density 1.66
Count Ratio Moisture 0.22
Calculated Percent Relative Compaction 96.4 %
Reported Percent Relative Compaction 96 %

Test 2 of 2

DIME Test ID: 2022-10-08-13-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 10/27/2022
Date Tested: 10/08/2022
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 2.16
Highest adjust wet density 2.24
Relative compaction 96
% Moisture 9.6 %
Optimum Moisture 11.1 %