Sample Record

Owner Lab

  • Kie-Con, Inc. - Antioch

DIME Sample ID 2021-06-24-38

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout DateNot set
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date06/24/2021 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 testing06/25/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes5 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 numberK5110 R1
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected110781
Concrete batch plant The fabricator/manufacturer designation for the sample20-020G 6/24/2021
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledWeb Beam
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-06-24-38-1ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement ConcreteStephen HaynesKie-Con, Inc. - Antioch06/24/2021Stephen Haynes
Yes
12/21/2021
2021-06-24-38-2ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement ConcreteStephen HaynesKie-Con, Inc. - Antioch06/24/2021Stephen Haynes
Yes
12/21/2021
2021-06-24-38-3ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteStephen HaynesKie-Con, Inc. - Antioch06/24/2021Stephen Haynes
Yes
12/21/2021
2021-06-24-38-4ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Inc. - Antioch06/25/2021Stephen Haynes
Yes
12/21/2021
2021-06-24-38-5ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete SpecimensStephen HaynesKie-Con, Inc. - Antioch07/23/2021Stephen Haynes
Yes
12/21/2021