Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly
DIME Sample ID: 2021-08-03-38
TL Number from the TL Form:
Sample Submitted By Organization: Kie-Con, Incorporated - Antioch
Sample Organization Contact: (925) 331-7122
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 08/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 08/04/2021
The quantity of what the sample constitutes: 16 CY
A brief description of the sample: 6 x 12 Concrete Cylinders
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: KIE-CON, INC
The concrete mix design number: K5670-500 CP R2
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 111435
Concrete batch plant:
The fabricator/manufacturer designation for the sample: 20-088A 8/3/2021
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: I Girder
From Lot No.:
Bag Lot No.:
DIME Test ID: 2021-08-03-38-1
Test Method: ASTM C143-20: Standard Test Method for Slump of Hydraulic-Cement Concrete
Verified Date: 09/14/2021
Date Tested: 08/03/2021
Submitted By Organization: Kie-Con, Incorporated - Antioch
Organization Address: 3551 Wilbur Avenue,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: gregory.lask@kiewit.com
Organization Phone: (925) 331-7122
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2021-08-03-38-2
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Verified Date: 09/14/2021
Date Tested: 08/03/2021
Submitted By Organization: Kie-Con, Incorporated - Antioch
Organization Address: 3551 Wilbur Avenue,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: gregory.lask@kiewit.com
Organization Phone: (925) 331-7122
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
DIME Test ID: 2021-08-03-38-4
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/14/2021
Date Tested: 08/04/2021
Submitted By Organization: Kie-Con, Incorporated - Antioch
Organization Address: 3551 Wilbur Avenue,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: gregory.lask@kiewit.com
Organization Phone: (925) 331-7122
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used?
|
US Units
|
Number of specimens
|
2
|
Test performed
|
With no density determined
|
Average diameter of cylinder 1
|
6.00 in
|
Average diameter of cylinder 2
|
6.00 in
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
Cross sectional area of cylinder 1
|
28.27 in^2
|
Cross sectional area of cylinder 2
|
28.27 in^2
|
Compressive strength (to nearest 10 psi)
|
5180 psi
|
Maximum load on cylinder 1
|
149320 lb
|
Maximum load on cylinder 2
|
143520 lb
|
Type of fracture pattern of cylinder 1
|
1
|
Type of fracture pattern of cylinder 2
|
1
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Correction factor for cylinder 2
|
1
|
Age of specimen
|
1 days
|
Age of specimen in hours
|
20 hours
|
DIME Test ID: 2021-08-03-38-5
Test Method: ASTM C39-18: Standard Test Method for Compressive Strength of Cylindrical Concrete Specimens
Verified Date: 09/14/2021
Date Tested: 08/31/2021
Submitted By Organization: Kie-Con, Incorporated - Antioch
Organization Address: 3551 Wilbur Avenue,
Organization City: Antioch
Organization State: CA
Organization Zipcode: 94509
Organization Email: gregory.lask@kiewit.com
Organization Phone: (925) 331-7122
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Unit system used?
|
US Units
|
Number of specimens
|
2
|
Test performed
|
With no density determined
|
Average diameter of cylinder 1
|
6.00 in
|
Average diameter of cylinder 2
|
6.00 in
|
Capped in accordance with?
|
ASTM C617 - Sulfur Mortar Cap
|
Cross sectional area of cylinder 1
|
28.27 in^2
|
Cross sectional area of cylinder 2
|
28.27 in^2
|
Compressive strength (to nearest 10 psi)
|
8790 psi
|
Maximum load on cylinder 1
|
251170 lb
|
Maximum load on cylinder 2
|
245800 lb
|
Type of fracture pattern of cylinder 1
|
1
|
Type of fracture pattern of cylinder 2
|
1
|
Comment on any defect in either specimen or caps (Max 250 Characters)
|
no data
|
Correction factor for cylinder 1
|
1
|
Correction factor for cylinder 2
|
1
|
Age of specimen
|
28 days
|
Age of specimen in hours
|
0 hours
|