Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2021-10-08-19

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215063
DEA: 032F5704
EFIS: 0300020615
Award Date11/02/2020
Closeout DateNot set
Work DescriptionReplace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location DescriptionNot set
QA Service Level1 (Verified on 11/16/2020)

Sample Information

Sample Taken Date10/08/2021 Sample Unique Key19
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 testing10/09/2021
Sample typeQuality Control A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes25 CY From where was the sample collectedFabricator
First name of sampler or witnessed byStephen Last name of sampler or witnessed byHaynes
Title of sampler 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 numberK5670-100 CPA R4
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected112255
Concrete batch plant The fabricator/manufacturer designation for the sample20-111C 10/8/2021
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledVoided Slab
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-08-19-1ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteStephen HaynesKie-Con, Incorporated - Antioch10/08/2021Stephen Haynes
2021-10-08-19-2ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteCarl J. OgdenKie-Con, Incorporated - Antioch10/08/2021Stephen Haynes
10/20/2021Generated internal non-conformance report, NCR#20-111-03
2021-10-08-19-3ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure MethodConnor PelanKie-Con, Incorporated - Antioch10/08/2021Stephen Haynes
2021-10-08-19-4ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteConnor PelanKie-Con, Incorporated - Antioch10/08/2021Stephen Haynes
2021-10-08-19-5ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Incorporated - Antioch10/11/2021Stephen Haynes
2021-10-08-19-6ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensJason AllenKie-Con, Incorporated - Antioch10/20/2021Stephen Haynes

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2021-10-08-19-1 ASTM C1064-17 (Verified)
DIME Test ID: 2021-10-08-19-2 ASTM C143-20 (Verified)
DIME Test ID: 2021-10-08-19-3 ASTM C231-17a (Verified)
DIME Test ID: 2021-10-08-19-4 ASTM C138-17a (Verified)
DIME Test ID: 2021-10-08-19-5 ASTM C39-18 (Verified)
DIME Test ID: 2021-10-08-19-6 ASTM C39-18 (Verified)