Project Information

Project ID: 994966 DEA: 073255U4 EFIS: 0722000129 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-605-20.2/26

Work Description: INDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC

Location Description: LOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION

Contractor Name: Peterson Chase General Engineering

Contractor Address: 16351 Construction Circle West, Irvine, CA 92606

Resident Engineer: Steven Taing Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-06-28-100

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: 06/28/2024

Date that the sample was received by the laboratory/organization performing the testing: 06/28/2024

The quantity of what the sample constitutes: 1 bag

A brief description of the sample: Aggregate Base

From where was the sample collected: Source

Laboratory sample identification: 24-1675

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: N/A

Material Information

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:

Test Results

Test 1 of 2

DIME Test ID: 2024-06-28-100-1

Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages

Verified Date: 08/09/2024

Date Tested: 06/28/2024

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	10848 g/cc
Count or Density 1	9917 g/cc
Count or Density 2	9222 g/cc
Count or Density 3	9605 g/cc
Standard Count Moisture	19656 g/cc
Moisture Count 1	5311 g/cc
Moisture Count 2	5444 g/cc
Moisture Count 3	5850 g/cc
Sum of Count or Density	28744.00 g/cc
Average of Count or Density	9581.33 g/cc
Sum of Moisture Count	16605.00 g/cc
Average of Moisture Count	5535.00 g/cc
Calculated Percent Relative Compaction	95.9 %
Reported Percent Relative Compaction	96 %

Test 2 of 2

DIME Test ID: 2024-06-28-100-2

Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates