Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2020-06-26-17

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213958
DEA: 010F9604
EFIS: 0116000109
DIST-CO-RTE-PM01-HUM-101-124.5
Award Date11/06/2019
Closeout Date11/23/2021
Work DescriptionLITTLE LOST MAN FISH PASSAGE
Location DescriptionHUMBOLDT COUNTY NEAR ORICK 0.2 MILE SOUTH OF LOST MAN CREEK BRIDGE
QA Service Level1 (Verified on 06/24/2019)

Sample Information

Sample Taken Date06/26/2020 Sample Unique Key17
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 testing06/27/2020
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes9 CY From where was the sample collectedFabricator
First name of sampler or witnessed byESTUARDO Last name of sampler or witnessed byRAMIREZ
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKIE-CON, INC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameVOIDED SLAB

Material Information

Material TypeConcrete The concrete mix design numberK6100
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected105620
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedWHEEL BARROW 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
2020-06-26-17-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensESTUARDO RAMIREZ, Kie-Con, Incorporated - Antioch07/21/2020ESTUARDO RAMIREZ
Yes
07/24/2020

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-06-26-17-1 ASTM C39-18 (Verified)