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Sample Record for 2024-01-08-80

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

Project Information

Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-I-15,SR-91-6.1-7.6
Work Description: I-15 ELC: 15/91 Express Lanes Connector Project (ELC)
Location Description: Junction of I-15 and SR-91 in Corona, CA
Contractor Name: Myers-Rados Joint Venture
Contractor Address: 629 N. Main Street, Suite C3, Corona, CA 92878
Resident Engineer: Roy Fisher Structure Rep.: Alhakem Alina

Sample Information

DIME Sample ID: 2024-01-08-80
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Department Acceptance
Type of Material: Soil
Sample Taken Date: 01/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/08/2024
The quantity of what the sample constitutes: 15.0 kg
A brief description of the sample: Structural Backfill
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CTM 231 TEST LOCATION

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: Soundwall 2192 - 1320 Cresta Rd, Freeway Side 91 WB to 15 NB
Where the material sample would have been placed if not sampled:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-01-08-80-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Verified Date: 04/05/2024
Date Tested: 01/08/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Density Spec 90%
Test Result Compliance: complies
Additional Comments When Verified:
Sum of Count or Density 2779.00 g/cc
Average of Count or Density 926.00 g/cc
Sum of Moisture Count 308.00 g/cc
Average of Moisture Count 103.00 g/cc
Count Ratio Density 0.56
Count Ratio Moisture 0.16
Calculated Percent Relative Compaction 95.6 %
Reported Percent Relative Compaction 96 %

Test 2 of 2

DIME Test ID: 2024-01-08-80-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Verified Date: 04/05/2024
Date Tested: 01/08/2024
Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: prakash.gowda@dot.ca.gov
Organization Phone: (951) 232-3690
General Comments for this Test: Density Spec 90%
Test Result Compliance:
Additional Comments When Verified:
Is oversize material No
In-place wet density 2.16
Highest adjust wet density 2.26
Relative compaction 96
% Moisture no data
Optimum Moisture no data