Test 2021-03-22-2-3 (ASTM C1064-17) Summary

Project Information
Project IdentifiersProject ID: 213653
DEA: 044G8204
EFIS: 0413000049
DIST-CO-RTE-PM04-MRN-101-10.6/10.8
Work DescriptionREPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location DescriptionMARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
Sample Information
Sample Taken Date3/22/2021 Sample Unique Key2
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 testing3/23/2021
Sample typeQuality Control A brief description of the sample6x12 concrete cylinders
The quantity of what the sample constitutes31 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 numberK4500x
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected109808
Concrete batch plant The fabricator/manufacturer designation for the sample20-030E 3/22/21
A detailed description of where the material sample was collectedConcrete sample from wheelbarrow Where the material sample would have been placed if not sampledVoided Slab
From Lot No. Bag Lot No.
Test Details
DIME Sample ID: 2021-03-22-2
DIME Test ID: 2021-03-22-2-3
Testing Lab: Kie-Con, Inc.
Test Method: ASTM C1064-17: Standard Test Method for Temperature of Freshly Mixed Hydraulic-Cement Concrete
Test Release Date: 2021-09-15
Test Results

Input Type: Calculated
Tester's full name: Tim Jellinghausen
Date of test: 03/22/2021
Temperature: 67 F
General comments (publicly viewable) (Max 1000 characters):

Test was verified on 09/15/2021