Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2021-03-17-16
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
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DIST-CO-RTE-PM | 04-MRN-101-10.6/10.8 |
Award Date | 05/05/2020 |
Closeout Date | 08/14/2023 |
Work Description | REPLACE SAN RAFAEL HARBOR BRIDGE (ABC) |
Location Description | MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET |
QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
Sample Taken Date | 03/17/2021 | Sample Unique Key | 16 |
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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 | 03/18/2021 |
Sample type | Quality Control | A brief description of the sample | 6x12 concrete cylinders |
The quantity of what the sample constitutes | 31 CY | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Tim | Last name of sampler or witnessed by | Jellinghausen |
Title of sampler | QC Inspector Technician | Telephone number of sampler | 9253317131 |
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 | K4500x |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 109771 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | 20-030E 3/17/21 | |
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 | Voided Slab |
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: 2021-03-17-16-1 ASTM C39-18 (Verified)
DIME Test ID: 2021-03-17-16-2 ASTM C39-18 (Verified)
DIME Test ID: 2021-03-17-16-3 ASTM C143-20 (Verified)
DIME Test ID: 2021-03-17-16-4 ASTM C1064-17 (Verified)
DIME Test ID: 2021-03-17-16-5 ASTM C138-17a (Verified)