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Sample Record for 2022-10-10-69

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: 2022-10-10-69
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: 10/10/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2022
The quantity of what the sample constitutes: 817 Square Feet.
A brief description of the sample: Class 3 Base
From where was the sample collected: Job Site
Laboratory sample identification: 22-2693
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-10-10-69-1
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: 10/10/2022
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:
Additional Comments When Verified:
Standard Count Density 10075 g/cc
Count or Density 1 21466 g/cc
Count or Density 2 21453 g/cc
Count or Density 3 22549 g/cc
Standard Count Moisture 15818 g/cc
Moisture Count 1 3719 g/cc
Moisture Count 2 3772 g/cc
Moisture Count 3 3206 g/cc
Sum of Count or Density 65468 g/cc
Average of Count or Density 21823 g/cc
Sum of Moisture Count 10697 g/cc
Average of Moisture Count 3566 g/cc
Count Ratio Density 2.17
Count Ratio Moisture 0.23
Calculated Percent Relative Compaction 97.7 %
Reported Percent Relative Compaction 98 %

Test 2 of 2

DIME Test ID: 2022-10-10-69-2
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: 10/10/2022
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:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.17
Highest adjust wet density 2.22
Relative compaction 98
% Moisture 10.2 %
Optimum Moisture 11.7 %