Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2020-12-14-14
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Project Information
| Project Identifiers | Project ID: 214873 DEA: 010F3104 EFIS: 0115000108 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-39.8 |
| Award Date | 05/28/2020 |
| Closeout Date | 10/07/2022 |
| Work Description | REMOVE REINFORCED CONCRETE BOX CULVERT AND CONSTRUCT BRIDGE. |
| Location Description | DEL NORTE COUNTY NEAR SMITH RIVER AT DOMINIE CREEK |
| QA Service Level | 1 (Verified on 06/04/2020) |
Sample Information
| Sample Taken Date | 12/14/2020 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 12/15/2020 |
| Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
| The quantity of what the sample constitutes | 40.32 CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Stephen | Last name of sampler or witnessed by | Haynes |
| Title of sampler | QC Inspector Technician | Telephone number of sampler | (925) 331-7125 |
| 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 | K6080-603 V1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 108787 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | 20-060 12/14/2020 | |
| 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 | Box Girder |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-12-14-14-1 ASTM C39-18 (Verified)
DIME Test ID: 2020-12-14-14-2 ASTM C39-18 (Verified)