Sample Record

Owner Lab

  • Kie-Con, Incorporated - Antioch

DIME Sample ID 2023-06-21-95

Project Information

Project IdentifiersProject ID: 994309
DEA: 033H5404
EFIS: 0318000012
DIST-CO-RTE-PM03-BUT-70-46.0/47.0
Award Date02/10/2023
Closeout DateNot set
Work DescriptionRAISE ALIGNMENT, PLACE HMA, STRUCTURAL CONCRETE & BRIDGE RAIL.
Location DescriptionBUTTE COUNTY NEAR PARADISE FROM 0.8 MILE WEST OF SHADY REST AREA TO 0.2 MILE EAST OF SHADY REST AREA
QA Service Level1 (Verified on 10/04/2022)

Sample Information

Sample Taken Date06/21/2023 Sample Unique Key95
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 testing06/21/2023
Sample typeQuality Control A brief description of the sampleQC Sampling Data
The quantity of what the sample constitutes27 CY From where was the sample collectedSource
First name of sampler or witnessed byConnor Last name of sampler or witnessed byPelan
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameKie-Con Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberK4065-14212
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected118162
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from 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
2023-06-21-95-1ASTM C138-17a: Standard Test Method for Density (Unit Weight), Yield, and Air Content (Gravimetric) of ConcreteConnor Pelan, Kie-Con, Incorporated - Antioch06/21/2023Connor Pelan
Yes
08/21/2024Unit weight of 142.24 lbs/cf

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-06-21-95-1 ASTM C138-17a (Verified)