Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2020-06-26-17
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213958 DEA: 010F9604 EFIS: 0116000109 |
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DIST-CO-RTE-PM | 01-HUM-101-124.5 |
Award Date | 11/06/2019 |
Closeout Date | 11/23/2021 |
Work Description | LITTLE LOST MAN FISH PASSAGE |
Location Description | HUMBOLDT COUNTY NEAR ORICK 0.2 MILE SOUTH OF LOST MAN CREEK BRIDGE |
QA Service Level | 1 (Verified on 06/24/2019) |
Sample Information
Sample Taken Date | 06/26/2020 | Sample Unique Key | 17 |
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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 | 06/27/2020 |
Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 9 CY | 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 | 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 | VOIDED SLAB |
Material Information
Material Type | Concrete | The concrete mix design number | K6100 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 105620 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | WHEEL BARROW | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-06-26-17-1 ASTM C39-18 (Verified)