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Sample Record for 2021-03-22-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-10.6/10.8
Work Description: REPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location Description: MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
Contractor Name: Gordon N. Ball
Contractor Address: 333 Camille Ave., Alamo, CA 94507
Resident Engineer: Dawit Habteselassie Structure Rep.: Long N Ly

Sample Information

DIME Sample ID: 2021-03-22-2
TL Number from the TL Form:
Sample Submitted By Organization: Kie-Con, Inc.
Sample Organization Contact: (925) 754-9494
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 03/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/23/2021
The quantity of what the sample constitutes: 31 CY
A brief description of the sample: 6x12 concrete cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KIE-CON, INC

Material Information

The concrete mix design number: K4500x
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 109808
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 20-030E 3/22/21
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: Voided Slab
From Lot No.:
Bag Lot No.:

Test Results

Test 1 of 5

DIME Test ID: 2021-03-22-2-1
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 03/24/2021
Date Tested: 03/24/2021
Submitted By Organization: Kie-Con, Inc.
Organization Address: 3550 Wilbur Ave,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: estuardo.ramirez@kiecon.com
Organization Phone: (925) 754-9494
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617/CTM521
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 5350 psi
Maximum load on cylinder 1 153110 lb
Maximum load on cylinder 2 149550 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 2 days
Age of specimen in hours 41 hours

Test 2 of 5

DIME Test ID: 2021-03-22-2-2
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 04/19/2021
Date Tested: 04/19/2021
Submitted By Organization: Kie-Con, Inc.
Organization Address: 3550 Wilbur Ave,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: estuardo.ramirez@kiecon.com
Organization Phone: (925) 754-9494
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used? US Units
Number of specimens 2
Test performed With no density determined
Average diameter of cylinder 1 6.00 in
Average diameter of cylinder 2 6.00 in
Capped in accordance with? ASTM C617/CTM521
Cross sectional area of cylinder 1 28.27 in^2
Cross sectional area of cylinder 2 28.27 in^2
Compressive strength (to nearest 10 psi) 9110 psi
Maximum load on cylinder 1 254680 lb
Maximum load on cylinder 2 260320 lb
Type of fracture pattern of cylinder 1 1
Type of fracture pattern of cylinder 2 1
Comment on any defect in either specimen or caps (Max 250 Characters) no data
Correction factor for cylinder 1 1
Correction factor for cylinder 2 1
Age of specimen 28 days
Age of specimen in hours 668 hours

Test 3 of 5

DIME Test ID: 2021-03-22-2-3
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/15/2021
Date Tested: 03/22/2021
Submitted By Organization: Kie-Con, Inc.
Organization Address: 3550 Wilbur Ave,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: estuardo.ramirez@kiecon.com
Organization Phone: (925) 754-9494
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Temperature 67 F

Test 4 of 5

DIME Test ID: 2021-03-22-2-4
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/15/2021
Date Tested: 03/22/2021
Submitted By Organization: Kie-Con, Inc.
Organization Address: 3550 Wilbur Ave,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: estuardo.ramirez@kiecon.com
Organization Phone: (925) 754-9494
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Slump 8.75 inch

Test 5 of 5

DIME Test ID: 2021-03-22-2-5
Test Method: ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of Concrete
Verified Date: 09/15/2021
Date Tested: 03/22/2021
Submitted By Organization: Kie-Con, Inc.
Organization Address: 3550 Wilbur Ave,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: estuardo.ramirez@kiecon.com
Organization Phone: (925) 754-9494
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Identification of concrete represented by the sample 109808
Volume of the measure 0.25 ft^3
Density of concrete 150.8 lb/ft^3
Yield of concrete no data
Relative yield of the batch no data
Cement content no data
Air content no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.