Sample Taken Date	06/18/2025	Sample Unique Key	38
Date that the sample was received by the laboratory/organization performing the testing	06/19/2025	Sample type	Acceptance
A brief description of the sample	Class II Agg Base	The quantity of what the sample constitutes	1 Bag of Base
From where was the sample collected	Source	First name of sampler or witnessed by	Dylan
Last name of sampler or witnessed by	Carapazza	Title of sampler	Consultant
Telephone number of sampler		Laboratory sample identification	4644
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Grinding Rock - Independence
Transportation Laboratory (TL) Number	AB-01	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	00-00-0000
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 at Pit
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Test ID: 2025-06-18-38-1 AASHTO T176-08 (Verified)
DIME Test ID: 2025-06-18-38-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2025-06-18-38-4 CTM 301-March 2000 (Verified)
DIME Test ID: 2025-06-18-38-5 AASHTO T27-14 (Verified)