Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2021-12-08-26
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Project Information
| Project Identifiers | Project ID: 215462 DEA: 080C8704 EFIS: 0800000064 COOP: 081687 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-SR 60-R2.08/2.80 |
| Award Date | 11/20/2020 |
| Closeout Date | Not set |
| Work Description | The project scope of work is widening approximately .7 miles of SR-60 at Central Avenue to accommodate three through-lanes with provisions for a future lane, two left-turn lanes, standard shoulders, bike path, and sidewalk in both the northbound and southbound directions |
| Location Description | Project Limits are SR-60 from 0.3 miles west to 0.4 miles east of Central Ave. PM 2.08/2.80 in Chino. |
| QA Service Level | 2 (Verified on 01/18/2021) |
Sample Information
| Sample Taken Date | 12/08/2021 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 12/09/2021 |
| Sample type | Quality Control | A brief description of the sample | 4 X 8 Concrete Cylinders |
| The quantity of what the sample constitutes | 38 CY | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Stephen | Last name of sampler or witnessed by | Haynes |
| Title of sampler | Telephone number of sampler | 9253317125 | |
| 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 | K6080-603 CPA R1 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 112933 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | 20-121 12/8/2021 | |
| 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 | Wide Flange Girder |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-08-26-1 ASTM C1064-17 (Verified)
DIME Test ID: 2021-12-08-26-2 ASTM C143-20 (Verified)
DIME Test ID: 2021-12-08-26-3 ASTM C138-17a (Verified)
DIME Test ID: 2021-12-08-26-4 ASTM C39-18 (Verified)