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Sample Record for 2022-12-05-3

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

Project Information

Project ID: 993607 DEA: 07322604 EFIS: 0716000057 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-210-R41.3/R44.6
Work Description: CONSTRUCT POLLUTION INFILTRATION AREAS AND AUSTIN VAULT SAND FILTER.
Location Description: LOS ANGELES COUNTY IN GLENDORA AT VARIOUS LOCATIONS FROM 0.2 MILE EAST OF BARRANCA AVENUE OVERCROSSING TO 0.1 MILE WEST OF AMELIA AVENUE UNDERCROSSING
Contractor Name: SEMA CONSTRUCTION
Contractor Address: 42690 Rio Nedo, Temecula, CA 92590
Resident Engineer: Raj Punjabi Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-12-05-3
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: 12/05/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/05/2022
The quantity of what the sample constitutes: 1156 SF
A brief description of the sample: Structural Backfill
From where was the sample collected: Job Site
Laboratory sample identification: 22-3146
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA

Material Information

The fabricator's/manufacturer's product name for the sample: Structural Backfill
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-12-05-3-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/06/2022
Date Tested: 12/05/2022
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: AVSF Location 8 EB Rte. 210 pass Lone Hill On-Ramp Sta. 0+50 to Sta. 1+18 Elevation: 909.00
Test Result Compliance:
Additional Comments When Verified:
Standard Count Density 2323 g/cc
Count or Density 1 2.1 g/cc
Count or Density 2 2.09 g/cc
Count or Density 3 1.85 g/cc
Standard Count Moisture 643 g/cc
Moisture Count 1 0.24 g/cc
Moisture Count 2 0.2 g/cc
Moisture Count 3 0.22 g/cc
Sum of Count or Density 6.04 g/cc
Average of Count or Density 2.01 g/cc
Sum of Moisture Count 0.66 g/cc
Average of Moisture Count 0.22 g/cc
Calculated Percent Relative Compaction 91.9 %
Reported Percent Relative Compaction 92 %

Test 2 of 2

DIME Test ID: 2022-12-05-3-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/06/2022
Date Tested: 12/05/2022
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: AVSF Location 8 EB Rte. 210 pass Lone Hill On-Ramp Sta. 0+50 to Sta. 1+18 Elevation: 909.00
Test Result Compliance:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.01
Highest adjust wet density 2.19
Relative compaction 92
% Moisture 12.3 %
Optimum Moisture no data