Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2023-03-23-30
Project Information
Project Identifiers | Project ID: 994161 DEA: 032H4504 EFIS: 0317000113 |
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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) |
Sample Information
Sample Taken Date | 03/23/2023 | Sample Unique Key | 30 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 03/23/2023 |
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 | 230223920 | 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 |
Material Information
Material Type | Concrete | The concrete mix design number | 1593834 |
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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 | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2023-03-23-30-1 | CTM 541-November 2010: Method of Test for Flow of Grout Mixtures (Flow Cone Method) | Phillip Asher III, CT D03 - Olivehurst Northern Regional Laboratory | 03/23/2023 | Phillip Asher III | No | Only ran efflux time before quiescence @ 9:20. | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-03-23-30-1 CTM 541-November 2010