DIME - Test Summary

Summary for Test 2021-08-12-51-2

Test performed: ASTM C143-20

Project Identifiers	Project ID: 215063 DEA: 032F5704 EFIS: 0300020615
DIST-CO-RTE-PM	03-PLA-80-46.3/63.5
Award Date	09/23/2020
Closeout Date	08/11/2023
Work Description	Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location Description	Not set
QA Service Level	1 (Verified on 11/16/2020)

Sample Taken Date	08/12/2021	Sample Unique Key	51
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	08/13/2021
Sample type	Quality Control	A brief description of the sample	6x12 concrete cylinders
The quantity of what the sample constitutes	25 CY	From where was the sample collected	Fabricator
First name of sampler or witnessed by	Stephen	Last name of sampler or witnessed by	Haynes
Title of sampler		Telephone number of sampler	9253317125
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

Material Type	Concrete	The concrete mix design number	K5670-100 CPA R4
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	111636
Concrete batch plant		The fabricator/manufacturer designation for the sample	20-111C 8/12/2021
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: 2021-08-12-51

DIME Test ID: 2021-08-12-51-2

Testing Lab: Kie-Con, Incorporated - Antioch

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

Test Release Date: 2021-10-20

Input Type: Calculated

Tester's full name: Carl J. Ogden

Date of test: 08/12/2021

Slump: 10 inch

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

Test was verified on 10/20/2021 ✔