Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2020-05-28-25
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214601 DEA: 041J5694 EFIS: 0419000313 |
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DIST-CO-RTE-PM | 04-SM-101-0.0/21.8 |
Award Date | 12/03/2019 |
Closeout Date | 09/28/2022 |
Work Description | San Mateo US 101 Express Lanes North |
Location Description | Not set |
QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
Sample Taken Date | 05/28/2020 | Sample Unique Key | 25 |
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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 | 05/28/2020 |
Sample type | Quality Control | A brief description of the sample | Precast concrete |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | ESTUARDO | Last name of sampler or witnessed by | RAMIREZ |
Title of sampler | QCM | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | KIE-CON, INC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | CTP70-V41 |
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The truck number from where the sample was collected | Unknown | The batch plant ticket number from where the sample was collected | 104723 |
Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
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 | Unknown |
From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-05-28-25-1 ASTM C39-17a (Verified)