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: 2023-03-07-10

TL Number from the TL Form:

Sample Submitted By Organization: Alta Vista Solutions - Whittier

Sample Organization Contact: (510) 542-9827

Type of Sample: Quality Assurance

Type of Material: Aggregate

Sample Taken Date: 03/07/2023

Date that the sample was received by the laboratory/organization performing the testing: 03/07/2023

The quantity of what the sample constitutes: 3360 square feet

A brief description of the sample: Aggregate Base

From where was the sample collected: Job Site

Laboratory sample identification: 23-0232

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: 3/4 inch

The concrete mix design number:

Lot number:

Sublot number:

Aggregate Mix Number:

Test Results

Test 1 of 2

DIME Test ID: 2023-03-07-10-1

Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages

Verified Date: 03/09/2023

Date Tested: 03/07/2023

Submitted By Organization: Alta Vista Solutions - Whittier

Organization Address: 12409 Slauson Avenue, Suite I,

Organization City: Whittier

Organization State: CA

Organization Zipcode: 90606

Organization Email: nicholas.hoffmann@oneatlas.com

Organization Phone: (510) 542-9827

General Comments for this Test:

Test Result Compliance:

Additional Comments When Verified:

Standard Count Density	1703 g/cc
Count or Density 1	647 g/cc
Count or Density 2	809 g/cc
Count or Density 3	715 g/cc
Standard Count Moisture	668 g/cc
Moisture Count 1	166 g/cc
Moisture Count 2	160 g/cc
Moisture Count 3	179 g/cc
Sum of Count or Density	2171.00 g/cc
Average of Count or Density	723.67 g/cc
Sum of Moisture Count	505.00 g/cc
Average of Moisture Count	168.33 g/cc
Calculated Percent Relative Compaction	97.7 %
Reported Percent Relative Compaction	98 %

Test 2 of 2

DIME Test ID: 2023-03-07-10-2

Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates