Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2024-01-23-16

Project Information

Project IdentifiersProject ID: 994327
DEA: 081G4704
EFIS: 0816000001
DIST-CO-RTE-PM08-RIV-74-3.1/53.5
Award Date01/02/2023
Closeout DateNot set
Work DescriptionSTRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM.
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE.
QA Service Level1 (Verified on 06/08/2023)

Sample Information

Sample Taken Date01/23/2024 Sample Unique Key16
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 testing01/23/2024
Sample typeQuality Control A brief description of the sampleWeekly aggregate sample
The quantity of what the sample constitutesWeekly aggregate sample From where was the sample collectedJob Site
First name of sampler or witnessed byJason Last name of sampler or witnessed byAllen
Title of sampler Telephone number of sampler
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 name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-07-0003
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedKie-Con stockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-01-23-16-1ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse AggregatesJason Allen , Kie-Con, Incorporated - Antioch01/23/2024Connor Pelan
Yes
04/12/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-01-23-16-1 ASTM C136-19 (Verified)