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Sample Record for 2022-12-23-2

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

Project Information

Project ID: 993923 DEA: 071XY304 EFIS: 0722000213 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA/LA-LA-110-6.60/7.45
Work Description: Repair slope erosion by re-grading the embankment to match existing slopes and replae damaged concrete drainage ditch per Standard Specifications
Location Description:
Contractor Name: TBD
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-12-23-2
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: Department Acceptance
Type of Material: Soil
Sample Taken Date: 12/23/2022
Date that the sample was received by the laboratory/organization performing the testing: 12/23/2022
The quantity of what the sample constitutes: 378 SF
A brief description of the sample: Embankment
From where was the sample collected: Job Site
Laboratory sample identification: 22-3207
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA

Material Information

The fabricator's/manufacturer's product name for the sample: Embankment
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: 2022-12-23-2-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/23/2022
Date Tested: 12/23/2022
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: NB Rte. 110, PM LA 7.054 Outside Shoulder Top of Slope
Test Result Compliance:
Additional Comments When Verified:
Standard Count Density 2322 g/cc
Count or Density 1 2.07 g/cc
Count or Density 2 2.03 g/cc
Count or Density 3 2 g/cc
Standard Count Moisture 651 g/cc
Moisture Count 1 0.22 g/cc
Moisture Count 2 0.2 g/cc
Moisture Count 3 0.17 g/cc
Sum of Count or Density 6.1 g/cc
Average of Count or Density 2.03 g/cc
Sum of Moisture Count 0.59 g/cc
Average of Moisture Count 0.2 g/cc
Calculated Percent Relative Compaction 94.6 %
Reported Percent Relative Compaction 95 %

Test 2 of 2

DIME Test ID: 2022-12-23-2-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/23/2022
Date Tested: 12/23/2022
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: NB Rte. 110, PM LA 7.054 Outside Shoulder Top of Slope
Test Result Compliance:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.04
Highest adjust wet density 2.15
Relative compaction 95
% Moisture 10.7 %
Optimum Moisture no data