Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2024-09-17-105
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000259 DEA: 050N74V4 EFIS: 0522000043 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-9.2/9.7 |
| Award Date | 02/08/2024 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | FOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 04/15/2024) |
Sample Information
| Sample Taken Date | 09/17/2024 | Sample Unique Key | 105 |
|---|---|---|---|
| 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 | 09/17/2024 |
| Sample type | Quality Control | A brief description of the sample | QC concrete sampling |
| The quantity of what the sample constitutes | 27 CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mohammad Rafi | Last name of sampler or witnessed by | Yousufzai |
| 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 |
Material Information
| Material Type | Concrete | The concrete mix design number | K5065-23137 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 122578 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | QC concrete sampling | |
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-17-105-1 ASTM C138-17a (Verified)