Sample Record

Owner Lab

  • Kie-Con, Inc.

DIME Sample ID 2021-03-11-3

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 Date03/11/2021 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 testing03/12/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes12.13 CY From where was the sample collectedFabricator
First name of sampler or witnessed byTim 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 numberK4500x
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected109731
Concrete batch plant The fabricator/manufacturer designation for the sample20-030D 3/11/21
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledPier Cap
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-03-11-3-1ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensTim JellinghausenKie-Con, Inc. 03/12/2021Stephen Haynes
Yes
03/15/2021
2021-03-11-3-2ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Inc. 04/08/2021Stephen Haynes
Yes
04/08/2021
2021-03-11-3-3ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteTim JellinghausenKie-Con, Inc. 03/11/2021Stephen Haynes
Yes
09/15/2021
2021-03-11-3-4ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteTim JellinghausenKie-Con, Inc. 03/11/2021Stephen Haynes
Yes
09/15/2021
2021-03-11-3-5ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteTim JellinghausenKie-Con, Inc. 03/11/2021Stephen Haynes
Yes
09/15/2021