Sample Record
DIME Sample ID 2023-10-20-96
Project Information
| Project Identifiers | Project ID: 994929 DEA: 034J6804 EFIS: 0323000228 |
|---|---|
| DIST-CO-RTE-PM | 03-YOL-128-1/6 |
| Award Date | 04/01/2023 |
| Closeout Date | 04/01/2025 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/26/2023) |
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
Sample Information
| Sample Taken Date | 10/20/2023 | Sample Unique Key | 96 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 10/20/2023 | Sample type | Quality Assurance |
| A brief description of the sample | 4 qt Cement Grout | The quantity of what the sample constitutes | 4 qt Cement Grout |
| From where was the sample collected | Source | First name of sampler or witnessed by | Phillip |
| Last name of sampler or witnessed by | Asher | Title of sampler | Assistant Structures Rep |
| Telephone number of sampler | 916-768-8293 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Drill Tech | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 22-E0007 | Structure name | RTE 128 Retaining Wall @ PM 2.25 |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | NA |
|---|---|---|---|
| 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 | Collected from the end of the hose coming from the grout pump. | 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 |
|---|---|---|---|---|---|---|---|---|---|
| 2023-10-20-96-1 | CTM 541-November 2010: Method of Test for Flow of Grout Mixtures (Flow Cone Method) | Phillip Asher III, CT D03 - Olivehurst Northern Regional Laboratory | 10/20/2023 | 01/19/2024 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-20-96-1 CTM 541-November 2010
