Sample Record
DIME Sample ID 2023-03-27-44
Project Information
| Project Identifiers | Project ID: 994161 DEA: 032H4504 EFIS: 0317000113 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL,SOL-505-R10.6/0.0 |
| Award Date | 09/21/2022 |
| Closeout Date | 08/10/2023 |
| Work Description | INSTALL STEEL COLUMN CASINGS & REINFORCED CONC BLOCKING. |
| Location Description | YOLO AND SOLANO COUNTIES NEAR WINTERS AT PUTAH CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/05/2022) |
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
Sample Information
| Sample Taken Date | 03/27/2023 | Sample Unique Key | 44 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 03/27/2023 | Sample type | Quality Assurance |
| A brief description of the sample | Grout Mixture for filling in the gap between the column casing and the existing concrete column. | The quantity of what the sample constitutes | 4 qt |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Phillip |
| Last name of sampler or witnessed by | Asher | Title of sampler | ASR |
| Telephone number of sampler | 916-768-8293 | Laboratory sample identification | 230327800 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Jose Santos | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 22-0072L/R | Structure name | Putah Creek Bridge |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 1593834 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Grout Mixture sampled from the end of the pressurized hose. | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2023-03-27-44-1 | CTM 541-November 2010: Method of Test for Flow of Grout Mixtures (Flow Cone Method) | Phillip Asher III, CT D03 - Olivehurst Northern Regional Laboratory | 03/27/2023 | 04/07/2023 | No | Efflux time only run before quiescence. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-27-44-1 CTM 541-November 2010
