Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2023-07-26-88
Project Information
Project Identifiers | Project ID: 994209 DEA: 010E7904 EFIS: 0115000021 |
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DIST-CO-RTE-PM | 01-HUM-254-4.2/4.2 |
Award Date | 12/13/2022 |
Closeout Date | Not set |
Work Description | Project Name: Fish Creek Bridge (Bridge No. 04-0317) |
Location Description | HUMBOLDT COUNTY NEAR PHILLIPSVILLE AT 3.3 MILES NORTH OF OHMAN CREEK BRIDGE |
QA Service Level | 1 (Verified on 09/09/2022) |
Sample Information
Sample Taken Date | 07/26/2023 | Sample Unique Key | 88 |
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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 | 07/26/2023 |
Sample type | Quality Control | A brief description of the sample | 28 day break data |
The quantity of what the sample constitutes | 1 | From where was the sample collected | Source |
First name of sampler or witnessed by | Connor | Last name of sampler or witnessed by | Pelan |
Title of sampler | 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 | k40508312 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 118828 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
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 | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-07-26-88-1 ASTM C39-18 (Verified)