Sample Record
Owner Lab
- Kie-Con, Incorporated - Antioch
DIME Sample ID 2023-06-21-94
Project Information
Project Identifiers | Project ID: 994309 DEA: 033H5404 EFIS: 0318000012 |
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DIST-CO-RTE-PM | 03-BUT-70-46.0/47.0 |
Award Date | 02/10/2023 |
Closeout Date | Not set |
Work Description | RAISE ALIGNMENT, PLACE HMA, STRUCTURAL CONCRETE & BRIDGE RAIL. |
Location Description | BUTTE COUNTY NEAR PARADISE FROM 0.8 MILE WEST OF SHADY REST AREA TO 0.2 MILE EAST OF SHADY REST AREA |
QA Service Level | 1 (Verified on 10/04/2022) |
Sample Information
Sample Taken Date | 06/21/2023 | Sample Unique Key | 94 |
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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 | 06/21/2023 |
Sample type | Quality Control | A brief description of the sample | QC Sampling Data |
The quantity of what the sample constitutes | 27 CY | 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 | Kie-Con | 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 | K4065-14212 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 118162 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-21-94-1 ASTM C143-20 (Verified)