Sample Record

Owner Lab

  • Kie-Con, Inc.

DIME Sample ID 2021-08-03-38

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Award Date11/30/2020
Closeout DateNot set
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
QA Service Level1 (Verified on 11/06/2020)

Sample Information

Sample Taken Date08/03/2021 Sample Unique Key38
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 testing08/04/2021
Sample typeQuality Control A brief description of the sample6 x 12 Concrete Cylinders
The quantity of what the sample constitutes16 CY From where was the sample collectedFabricator
First name of sampler or witnessed byStephen Last name of sampler or witnessed byHaynes
Title of samplerQC Inspector Technician Telephone number of sampler9253317125
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 numberK5670-500 CP R2
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected111435
Concrete batch plant The fabricator/manufacturer designation for the sample20-088A 8/3/2021
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledI Girder
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-08-03-38-1ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteStephen HaynesKie-Con, Inc. 08/03/2021Stephen Haynes
Yes
09/14/2021
2021-08-03-38-2ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteStephen HaynesKie-Con, Inc. 08/03/2021Stephen Haynes
Yes
09/14/2021
2021-08-03-38-4ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensMauril MarianoKie-Con, Inc. 08/04/2021Stephen Haynes
Yes
09/14/2021
2021-08-03-38-5ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Inc. 08/31/2021Stephen Haynes
Yes
09/14/2021