Sample Record

Owner Lab

  • Kie-Con, Inc.

DIME Sample ID 2020-10-22-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213653
DEA: 044G8204
EFIS: 0413000049
DIST-CO-RTE-PM04-MRN-101-10.6/10.8
Award Date05/05/2020
Closeout DateNot set
Work DescriptionREPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location DescriptionMARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
QA Service Level1 (Verified on 05/31/2019)

Sample Information

Sample Taken Date10/22/2020 Sample Unique Key12
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 testing10/23/2020
Sample typeQuality Control A brief description of the sample1 inch Rock cement and slag mix
The quantity of what the sample constitutes3.3 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byESTUARDO Last name of sampler or witnessed byRAMIREZ
Title of samplerQCM 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 namePRECAST MOCK UP

Material Information

Material TypeConcrete The concrete mix design numberK4500x
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected108214
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedconcrete sample from wheelb barrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-10-22-12-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensESTUARDO RAMIREZKie-Con, Inc. 10/23/2020ESTUARDO RAMIREZ
Yes
10/28/2020
2020-10-22-12-2ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensDanny CraneKie-Con, Inc. 11/18/2020Stephen Haynes
Yes
03/15/2021