Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2022-02-14-34
Project Information
Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
---|---|
DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
Award Date | 04/21/2020 |
Closeout Date | Not set |
Work Description | Panther Creek & Hunter Creek Bridges |
Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
Sample Taken Date | 02/14/2022 | Sample Unique Key | 34 |
---|---|---|---|
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 | 02/14/2022 |
Sample type | Quality Control | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 3 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Lask |
Title of sampler | QCM | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | KIECON | 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 | K4200CP1A |
---|---|---|---|
The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 113558 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Skyway Bed | Where the material sample would have been placed if not sampled | |
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: 2022-02-14-34-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-02-14-34-2 CTM 521-June 2020 (Verified)