Sample Record

DIME Sample ID 2021-05-18-54

Project Information

Project IdentifiersProject ID: 214469
DEA: 030H08U4
EFIS: 0319000029
DIST-CO-RTE-PM03-SAC-50-L0.2/R6.1
Award Date06/30/2020
Closeout DateNot set
Work DescriptionSac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location DescriptionFROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
QA Service Level1 (Verified on 10/23/2019)

Owner Lab

  • Kie-Con, Incorporated - Antioch

Sample Information

Sample Taken Date05/18/2021 Sample Unique Key54
Date that the sample was received by the laboratory/organization performing the testing05/19/2021 Sample typeQuality Control
A brief description of the sample6x12 concrete cylinders The quantity of what the sample constitutes37.5 CY
From where was the sample collectedFabricator First name of sampler or witnessed byMauril
Last name of sampler or witnessed byMariano Title of samplerQuality Control Engineer
Telephone number of sampler(925) 331-7110 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameKIE-CON, INC
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCTP70-V41
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected110189
Concrete batch plant The fabricator/manufacturer designation for the sample3S 5/18/21
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampled14 Inch Square Pile
From Lot No. Bag Lot No.

Submitted Tests

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