Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2024-08-05-112
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210260 DEA: 021H2604 EFIS: 0215000111 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-299-2.5/4.5 |
| Award Date | 02/09/2015 |
| Closeout Date | 12/21/2020 |
| Work Description | Excavation, disposal site development , BMPs placement and monitoring |
| Location Description | About 14 miles west of Shasta from 2.5 to 4.5 miles east of Trinity county line |
| QA Service Level | 2 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 08/05/2024 | Sample Unique Key | 112 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 08/05/2024 |
| Sample type | Quality Control | A brief description of the sample | QC aggregate sampling |
| The quantity of what the sample constitutes | 27CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Allen |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | KIE- CON | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-07-0003 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Coarse Aggregate | The fabricator/manufacturer designation for the sample | |
| The plant number | KIE CON | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | K5065-23137 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-05-112-1 AASHTO T27-14 (Verified)