Sample Record

Owner Lab

  • Kie-Con, Inc.

DIME Sample ID 2021-01-04-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214873
DEA: 010F3104
EFIS: 0115000108
DIST-CO-RTE-PM01-DN-101-39.8
Award Date05/28/2020
Closeout DateNot set
Work DescriptionREMOVE REINFORCED CONCRETE BOX CULVERT AND CONSTRUCT BRIDGE.
Location DescriptionDEL NORTE COUNTY NEAR SMITH RIVER AT DOMINIE CREEK
QA Service Level1 (Verified on 06/04/2020)

Sample Information

Sample Taken Date01/04/2021 Sample Unique Key3
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 testing01/05/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes35.3 CY From where was the sample collectedFabricator
First name of sampler or witnessed byTimothy Last name of sampler or witnessed byJellinghausen
Title of samplerQC Inspector Technician Telephone number of sampler9253317131
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 name

Material Information

Material TypeConcrete The concrete mix design numberK6080-603 V1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected108942
Concrete batch plant The fabricator/manufacturer designation for the sample20-060 1/4/2021
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledBox Girder
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-01-04-3-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Inc. 01/05/2020Stephen Haynes
Yes
01/08/2021
2021-01-04-3-2ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Inc. 02/01/2021Stephen Haynes
Yes
03/15/2021