Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2022-08-19-79

Project Information

Project IdentifiersProject ID: 993169
DEA: 050A0904
EFIS: 0513000028
DIST-CO-RTE-PM05-MON-156-R1.4/R2.0
Award Date12/14/2021
Closeout DateNot set
Work DescriptionWIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location DescriptionMONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
QA Service Level1 (Verified on 08/17/2021)

Sample Information

Sample Taken Date08/19/2022 Sample Unique Key79
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 testing08/19/2022
Sample typeQuality Control A brief description of the sampleQC concrete sampling
The quantity of what the sample constitutes19.25CY From where was the sample collectedSource
First name of sampler or witnessed byConnor Last name of sampler or witnessed byPelan
Title of samplerQC Inspector Telephone number of sampler7209266089
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKie-Con Antioch Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCastroville

Material Information

Material TypeConcrete The concrete mix design numberK4050900S
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected115582
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischard fron concrete truck into wheelbarrow. Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-08-19-79-1CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement ConcreteConnor Pelan, Kie-Con, Incorporated - Antioch08/19/2022Connor Pelan
Yes
08/03/2023
2022-08-19-79-2CTM 518-June 2010: Method of Test for Unit Weight of Fresh ConcreteConnor Pelan, Kie-Con, Incorporated - Antioch08/19/2022Connor Pelan
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-08-19-79-1 CTM 556-January 2018 (Verified)
DIME Test ID: 2022-08-19-79-2 CTM 518-June 2010