Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2024-07-23-149

Project Information

Project IdentifiersProject ID: 1000259
DEA: 050N74V4
EFIS: 0522000043
DIST-CO-RTE-PM05-SB-101-9.2/9.7
Award Date02/08/2024
Closeout DateNot set
Work DescriptionNot set
Location DescriptionFOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date07/23/2024 Sample Unique Key149
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 testing07/23/2024
Sample typeQuality Control A brief description of the sampleQC concrete sampling
The quantity of what the sample constitutes28 CY From where was the sample collectedFabricator
First name of sampler or witnessed byMohammad Rafi Last name of sampler or witnessed byYousufzai
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 TypeConcrete The concrete mix design numberK5065-23137
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected122380
Concrete batch plant The fabricator/manufacturer designation for the sampleQC concrete sampling
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-07-23-149-1ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteMohammad Yousufzai, Kie-Con, Incorporated - Antioch07/23/2024Mohammad Yousufzai
Yes
10/09/2024

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-07-23-149-1 ASTM C143-20 (Verified)