Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2026-01-15-31

Project Information

Project IdentifiersProject ID: 1001375
DEA: 040A53T4
EFIS: 0421000155
COOP: 040A53TCM
DIST-CO-RTE-PM04-SOL-80-L1.8/L3.2
Award Date06/20/2025
Closeout DateNot set
Work DescriptionConstruct I-80 WB Truck Scales
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
QA Service Level1 (Verified on 07/10/2025)

Sample Information

Sample Taken Date01/15/2026 Sample Unique Key31
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 testing01/15/2026
Sample typeQuality Control A brief description of the sampleConcrete Test Samples
The quantity of what the sample constitutes39 From where was the sample collectedFabricator
First name of sampler or witnessed byChristopher Last name of sampler or witnessed byLinan
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKie-Con Antioch Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePrecast Concrete The concrete mix design numberK7595-14312
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected126936
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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