Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994163 DEA: 042A9704 EFIS: 0412000161
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-280-Var
Work Description: REPLACE CULVERT, DRAINAGE AND EROSION CONTROL.
Location Description: SANTA CLARA AND SAN MATEO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: Ghilotti Construction Company (Samuel Gutierrez)
Contractor Address: 246 Ghilotti Avenue, Santa Rosa, CA 95407
Resident Engineer: Roberto Borja Structure Rep.: Unknown
DIME Sample ID: 2024-03-19-14
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Hayward Field Laboratory
Sample Organization Contact: (510) 723-0168
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 03/19/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/19/2024
The quantity of what the sample constitutes: 2358 cubic ft
A brief description of the sample: Backfill material
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: On site
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: Loc 3 SB 280 Med Shldr DS 6i
Where the material sample would have been placed if not sampled:
DIME Test ID: 2024-03-19-14-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 03/20/2024
Date Tested: 03/19/2024
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
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Is oversize material
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No
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|
In-place wet density
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2.28
|
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Highest adjust wet density
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2.33
|
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Relative compaction
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98
|
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% Moisture
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2.0 %
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Optimum Moisture
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no data
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DIME Test ID: 2024-03-19-14-2
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D04 - Hayward Field Laboratory
Organization Address: 21339 Cabot Boulevard,
Organization City: Hayward
Organization State: CA
Organization Zipcode: 94545
Organization Email: pamela.brown@dot.ca.gov
Organization Phone: (510) 385-8258
Data has not been verified.
