Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214697 DEA: 07307104 EFIS: 0714000213
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-101-32.8
Work Description: CONSTRUCT BRIDGE.
Location Description: LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING
Contractor Name: CA Rasmussen
Contractor Address: 28548 LIVINGSTON AVENUE, VALENICA CA 91355
Resident Engineer: Sam Toutounchian Structure Rep.: Darwin Vargas
DIME Sample ID: 2023-10-06-94
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: 10/06/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2023
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Structural Backfill
From where was the sample collected: Source
Laboratory sample identification: 23-1606
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: N/A
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: 3/8 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2023-10-06-94-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 02/01/2024
Date Tested: 10/06/2023
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:
Is oversize material
|
No
|
In-place wet density
|
2.04
|
Highest adjust wet density
|
2.12
|
Relative compaction
|
96
|
% Moisture
|
no data
|
Optimum Moisture
|
no data
|
DIME Test ID: 2023-10-06-94-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 02/01/2024
Date Tested: 10/06/2023
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
|
8800 g/cc
|
Count or Density 1
|
2792 g/cc
|
Count or Density 2
|
2860 g/cc
|
Count or Density 3
|
2872 g/cc
|
Standard Count Moisture
|
19230 g/cc
|
Moisture Count 1
|
4872 g/cc
|
Moisture Count 2
|
4834 g/cc
|
Moisture Count 3
|
5598 g/cc
|
Sum of Count or Density
|
8524 g/cc
|
Average of Count or Density
|
2841.33 g/cc
|
Sum of Moisture Count
|
15304 g/cc
|
Average of Moisture Count
|
5101.33 g/cc
|
Calculated Percent Relative Compaction
|
96.2 %
|
Reported Percent Relative Compaction
|
96 %
|