DIME - Test Summary

Summary for Test 2021-03-04-11-3

Test performed: ASTM C143-20

Project Identifiers	Project ID: 213653 DEA: 044G8204 EFIS: 0413000049
DIST-CO-RTE-PM	04-MRN-101-10.6/10.8
Award Date	05/05/2020
Closeout Date	08/14/2023
Work Description	REPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location Description	MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
QA Service Level	1 (Verified on 05/31/2019)

Sample Taken Date	03/04/2021	Sample Unique Key	11
Date that the sample was received by the laboratory/organization performing the testing	03/05/2021	Sample type	Quality Control
A brief description of the sample	6x12 concrete cylinders	The quantity of what the sample constitutes	32 CY
From where was the sample collected	Fabricator	First name of sampler or witnessed by	Tim
Last name of sampler or witnessed by	Jellinghausen	Title of sampler	QC Inspector Technician
Telephone number of sampler	9253317131	Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	KIE-CON, INC
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Concrete	The concrete mix design number	K4500x
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	109692
Concrete batch plant		The fabricator/manufacturer designation for the sample	20-030F 3/4/21
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	Voided Slab
From Lot No.		Bag Lot No.

DIME Sample ID: 2021-03-04-11

DIME Test ID: 2021-03-04-11-3

Testing Lab: Kie-Con, Incorporated - Antioch

Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete

Test Release Date: 2021-09-15

Input Type: Calculated

Tester's full name: Tim Jellinghausen

Date of test: 03/04/2021

Slump: 9.25 inch

General comments (publicly viewable) (Max 1000 characters):

Test was verified on 9/15/2021 ✔