Sample Record
Owner Lab
- CT D03 - Olivehurst Northern Regional Laboratory
DIME Sample ID 2023-03-24-37
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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) |
Sample Information
| Sample Taken Date | 03/24/2023 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 04/24/2023 |
| 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 | 230324740 | 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 | 22-0077L/R | |
| Structure name | Putah Creek Bridge |
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 | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2023-03-24-37-1 | CTM 541-November 2010: Method of Test for Flow of Grout Mixtures (Flow Cone Method) | Phillip Asher III, CT D03 - Olivehurst Northern Regional Laboratory | 03/24/2023 | Phillip Asher III | No | Only ran efflux time before quiescence @ 7:40 am. | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-24-37-1 CTM 541-November 2010