Sample Record

DIME Sample ID 2022-01-20-11

Project Information

Project IdentifiersProject ID: 214993
DEA: 051F5004
EFIS: 0514000003
DIST-CO-RTE-PM05-SB-101,135-70.6/71.2;0.1
Award Date11/17/2020
Closeout Date01/11/2024
Work DescriptionCONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA.
Location DescriptionSANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION
QA Service Level1 (Verified on 09/03/2020)

Owner Lab

  • Kie-Con, Incorporated - Antioch

Sample Information

Sample Taken Date01/20/2022 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing01/20/2022 Sample typeQuality Control
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutes58 CY
From where was the sample collectedFabricator First name of sampler or witnessed byStephen
Last name of sampler or witnessed byHaynes Title of sampler
Telephone number of sampler 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 numberK7010-705 CPO R3
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected113331
Concrete batch plant The fabricator/manufacturer designation for the sample20-138 1/20/22
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledBox Girder
From Lot No. Bag Lot No.

Submitted Tests

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