Test 2021-08-03-38-2 (ASTM C1064-17) Summary

Project Information
Project IdentifiersProject ID: 213099
DEA: 041A6614
EFIS: 0415000291
COOP: 042683A1
DIST-CO-RTE-PM04-MRN-101-8.4
Work DescriptionCONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location DescriptionNot set
Sample Information
Sample Taken Date8/3/2021 Sample Unique Key38
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 testing8/4/2021
Sample typeQuality Control A brief description of the sample6 x 12 Concrete Cylinders
The quantity of what the sample constitutes16 CY From where was the sample collectedFabricator
First name of sampler or witnessed byStephen Last name of sampler or witnessed byHaynes
Title of samplerQC Inspector Technician Laboratory sample identification
The fabricator/manufacturer/facility nameKIE-CON, INC 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 numberK5670-500 CP R2
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected111435
Concrete batch plant The fabricator/manufacturer designation for the sample20-088A 8/3/2021
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledI Girder
From Lot No. Bag Lot No.
Test Details
DIME Sample ID: 2021-08-03-38
DIME Test ID: 2021-08-03-38-2
Testing Lab: Kie-Con, Inc.
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Test Release Date: 2021-09-14
Test Results

Input Type: Calculated
Tester's full name: Stephen Haynes
Date of test: 08/03/2021
Temperature: 75 F
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 09/14/2021