Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
DEA: No Project
QA Service Level:
DIST-CO-RTE-PM: ---
Work Description: Special project identifier for material not associated with a project
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-05-20-9
TL Number from the TL Form:
Sample Submitted By Organization: Stonemont Solutions, Incorporated
Sample Organization Contact: (970) 674-1148
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 05/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2026
The quantity of what the sample constitutes: 1500
A brief description of the sample: Cold Feed (RAP)
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Stonemont
Source Identification (SMARA, name of Pit or Job Site): 4444
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpile Avg
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
DIME Test ID: 2026-05-20-9-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: Stonemont Solutions, Incorporated
Organization Address: 128 North 6th Street, Suite A,
Organization City: Windsor
Organization State: CO
Organization Zipcode: 80550
Organization Email: jbeal@stonemont.com
Organization Phone: (970) 674-1148
Data has not been verified.
