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Sample Record for 2023-12-07-12

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

Project Information

Project ID: 994869 DEA: 073237U4 EFIS: 0720000224 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-150-13.3/19
Work Description: PLACE HMA (TYPE A) AND COLD PLANE ASPHALT
Location Description: VENTURA COUNTY IN AND NEAR OJAI FROM BURNHAM ROAD TO GORHAM ROAD
Contractor Name: C. A. RASMUSSEN INC.
Contractor Address: 28548 Livingston Ave., Valencia, CA, 91355
Resident Engineer: Denrick Bautista Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-12-07-12
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: 12/07/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/07/2023
The quantity of what the sample constitutes: 5 sq. yd. Approx.
A brief description of the sample: Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 23-2161
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CA Rasmussen Inc.

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: From various locations at Aggregate Base
Where the material sample would have been placed if not sampled:

Test Results

Test 1 of 2

DIME Test ID: 2023-12-07-12-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 12/10/2023
Date Tested: 12/07/2023
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:
Sum of Count or Density 6.25 g/cc
Average of Count or Density 2.08 g/cc
Sum of Moisture Count 0.51 g/cc
Average of Moisture Count 0.17 g/cc
Calculated Percent Relative Compaction 95.9 %
Reported Percent Relative Compaction 96 %

Test 2 of 2

DIME Test ID: 2023-12-07-12-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 12/10/2023
Date Tested: 12/07/2023
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 2.08
Highest adjust wet density 2.17
Relative compaction 96
% Moisture 8.9 %
Optimum Moisture 12.9 %