Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2024-08-05-112

Project Information

Project IdentifiersProject ID: 210260
DEA: 021H2604
EFIS: 0215000111
DIST-CO-RTE-PM02-SHA-299-2.5/4.5
Award Date02/09/2015
Closeout Date12/21/2020
Work DescriptionExcavation, disposal site development , BMPs placement and monitoring
Location DescriptionAbout 14 miles west of Shasta from 2.5 to 4.5 miles east of Trinity county line
QA Service Level2 (Verified on 09/23/2015)

Sample Information

Sample Taken Date08/05/2024 Sample Unique Key112
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 testing08/05/2024
Sample typeQuality Control A brief description of the sampleQC aggregate sampling
The quantity of what the sample constitutes27CY From where was the sample collectedFabricator
First name of sampler or witnessed byJason Last name of sampler or witnessed byAllen
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKIE- CON Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-07-0003
The fabricator's/manufacturer's product name for the sampleCoarse Aggregate The fabricator/manufacturer designation for the sample
The plant numberKIE CON A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design numberK5065-23137 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-08-05-112-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Jason Allen, Kie-Con, Incorporated - Antioch08/05/2024Abdul Latifi
Yes
10/09/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-08-05-112-1 AASHTO T27-14 (Verified)