Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2023-08-04-97
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994209 DEA: 010E7904 EFIS: 0115000021 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-254-4.2/4.2 |
| Award Date | 12/13/2022 |
| Closeout Date | 06/16/2025 |
| Work Description | Project Name: Fish Creek Bridge (Bridge No. 04-0317) |
| Location Description | HUMBOLDT COUNTY NEAR PHILLIPSVILLE AT 3.3 MILES NORTH OF OHMAN CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/09/2022) |
Sample Information
| Sample Taken Date | 08/04/2023 | Sample Unique Key | 97 |
|---|---|---|---|
| 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 | 08/04/2023 |
| Sample type | Quality Control | A brief description of the sample | 28 day break data |
| The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Connor | Last name of sampler or witnessed by | Pelan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | KieCon | 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 | Concrete | The concrete mix design number | k4060-8312 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 119004 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete sample 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: 2023-08-04-97-1 ASTM C39-18 (Verified)