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Sample Record for 2023-01-13-3

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Project Information

Project ID: 993162 DEA: 07319104 EFIS: 0716000017 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-91-R11.8
Work Description: ADJUST VERTICAL CLEARANCE WITH ROADWAY EXCAVATION AND PLACE JPCP.
Location Description: LOS ANGELES COUNTY IN LONG BEACH AT NORTHBOUND ROUTE 710 TO EASTBOUND ROUTE 91 CONNECTOR
Contractor Name: RV Concrete
Contractor Address: 605 E Commercial Street, Anaheim, CA 92801
Resident Engineer: Thang Ton Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-01-13-3
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: Department Acceptance
Type of Material: Aggregate
Sample Taken Date: 01/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 01/13/2023
The quantity of what the sample constitutes: 4860 SF
A brief description of the sample: Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 23-0035
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA

Material Information

Source Identification (SMARA, name of Pit or Job Site): NA
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: 2023-01-13-3-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 01/13/2023
Date Tested: 01/13/2023
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 2.24
Relative compaction 97
% Moisture 9.8 %
Optimum Moisture 9.8 %

Test 2 of 2

DIME Test ID: 2023-01-13-3-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 01/13/2023
Date Tested: 01/13/2023
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 2164 g/cc
Count or Density 1 2.12 g/cc
Count or Density 2 2.21 g/cc
Count or Density 3 2.18 g/cc
Standard Count Moisture 639 g/cc
Moisture Count 1 0.19 g/cc
Moisture Count 2 0.2 g/cc
Moisture Count 3 0.19 g/cc
Sum of Count or Density 6.51 g/cc
Average of Count or Density 2.17 g/cc
Sum of Moisture Count 0.58 g/cc
Average of Moisture Count 0.19 g/cc
Calculated Percent Relative Compaction 96.9 %
Reported Percent Relative Compaction 97 %