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Sample Record for 2023-03-09-3

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

Project Information

Project ID: 214989 DEA: 050L7224 EFIS: 0515000098 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-34.5
Work Description: REPLACE BRIDGE.
Location Description: SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT OLD CREEK BRIDGE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: 1686 Ramona Avenue, Suite D, Grover Beach, CA 93433
Resident Engineer: Rick Silva Structure Rep.: Sal Heredia

Sample Information

DIME Sample ID: 2023-03-09-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Sample Organization Contact: 1 (209) 610-9363
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 03/09/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/09/2023
The quantity of what the sample constitutes: 1000 yd2
A brief description of the sample: Class 3 Base
From where was the sample collected: Job Site
Laboratory sample identification: 37000cl3ASB1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Negranti

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: 3 shot compaction job site
Where the material sample would have been placed if not sampled:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2023-03-09-3-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 03/09/2023
Date Tested: 03/09/2023
Submitted By Organization: CT D05 - Paso Robles Field Laboratory
Organization Address: 9191 Sand Diego Way, Space #9,
Organization City: Atascadero
Organization State: CA
Organization Zipcode: 93422
Organization Email: isaac.larey.chezem@dot.ca.gov
Organization Phone: (805) 234-6493
General Comments for this Test: passed
Test Result Compliance: complies
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.48
Highest adjust wet density 2.51
Relative compaction 99
% Moisture no data
Optimum Moisture no data