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Sample Record for 2023-04-28-10

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

Project Information

Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8
Work Description: Wye Segment - Route 41/46 Separation
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis

Sample Information

DIME Sample ID: 2023-04-28-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Sample Organization Contact: 805-540-9933
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 04/28/2023
Date that the sample was received by the laboratory/organization performing the testing: 04/28/2023
The quantity of what the sample constitutes: Sta 1371+62-1372+52 @ 200' Wide
A brief description of the sample: Native Material Original Grade
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Native Material
The fabricator/manufacturer/facility name: Native Material

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: Jobsite
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: 2023-04-28-10-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 05/01/2023
Date Tested: 04/28/2023
Submitted By Organization: CT D05 - Whitley Gardens Field Laboratory
Organization Address: 102 South Whitley Gardens Drive,
Organization City: Paso Robles
Organization State: CA
Organization Zipcode: 93346
Organization Email: kyle.engen@dot.ca.gov
Organization Phone: (805) 540-9933
General Comments for this Test:
Test Result Compliance: does not comply
Additional Comments When Verified:
Is oversize material No
In-place wet density 1.65
Highest adjust wet density 1.86
Relative compaction 89
% Moisture no data
Optimum Moisture no data