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Sample Record for 2022-11-15-16

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Project Information

Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101,135-70.6/71.2;0.1
Work Description: CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA.
Location Description: SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E Donovan Road, Santa Maria, CA 93454
Resident Engineer: Jason Torres Structure Rep.: Alex Martinez

Sample Information

DIME Sample ID: 2022-11-15-16
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Maria Field Laboratory
Sample Organization Contact:
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 11/15/2022
Date that the sample was received by the laboratory/organization performing the testing: 11/15/2022
The quantity of what the sample constitutes: Tons
A brief description of the sample: Embankment soil for shoulder construction
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland

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: Jobsite Subgrade
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: 2022-11-15-16-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 11/21/2022
Date Tested: 11/15/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 3225.00 g/cc
Average of Count or Density 1075.00 g/cc
Sum of Moisture Count 594.00 g/cc
Average of Moisture Count 198.00 g/cc
Count Ratio Density 0.62
Count Ratio Moisture 0.22
Calculated Percent Relative Compaction 97.7 %
Reported Percent Relative Compaction 98 %

Test 2 of 2

DIME Test ID: 2022-11-15-16-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 11/21/2022
Date Tested: 11/16/2022
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:
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 3135.00 g/cc
Average of Count or Density 1045.00 g/cc
Sum of Moisture Count 536.00 g/cc
Average of Moisture Count 179.00 g/cc
Count Ratio Density 0.60
Count Ratio Moisture 0.26
Calculated Percent Relative Compaction 96.3 %
Reported Percent Relative Compaction 96 %