Sample Record

DIME Sample ID 2023-11-09-105

Project Information

Project IdentifiersProject ID: 994929
DEA: 034J6804
EFIS: 0323000228
DIST-CO-RTE-PM03-YOL-128-1/6
Award Date04/01/2023
Closeout Date04/01/2025
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 06/26/2023)

Owner Lab

  • CT D03 - Olivehurst Northern Regional Laboratory

Sample Information

Sample Taken Date11/09/2023 Sample Unique Key105
Date that the sample was received by the laboratory/organization performing the testing11/09/2023 Sample typeQuality Assurance
A brief description of the sample4 qt Cement Grout The quantity of what the sample constitutes4 qt Cement Grout
From where was the sample collectedSource First name of sampler or witnessed byPhillip
Last name of sampler or witnessed byAsher Title of samplerAssistant Structures Rep
Telephone number of sampler916-768-8293 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDrill Tech
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier22-E0007 Structure nameRTE 128 Retaining Wall @ PM 2.25
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberNA
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedCollected 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 IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2023-11-09-105-1CTM 541-November 2010: Method of Test for Flow of Grout Mixtures (Flow Cone Method)Phillip Asher III, CT D03 - Olivehurst Northern Regional Laboratory11/09/202301/19/2024
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-11-09-105-1 CTM 541-November 2010