Sample Taken Date	10/25/2025	Sample Unique Key	13
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 testing	10/27/2025
Sample type	Production Start-Up	A brief description of the sample	RPSU
The quantity of what the sample constitutes	12 boxes	From where was the sample collected	Source
First name of sampler or witnessed by	Gerardo	Last name of sampler or witnessed by	Cordero
Title of sampler		Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Martin Marietta	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name		Bid Item	Not set

Material Type	Hot Mix Asphalt	HMA Type	RHMA-G
HMA Grading	3/4 inch	Lot number
Sublot number		HMA Mix Number	23418180AH MM
Binder content (%)	7.5	Virgin binder PG	PG 64-16
Design binder PG	PG 64-16	Binder Supplier	Valero
RAP content (%)	0	WMA Additives	No
Antistrip type	Ad-here XL9000

DIME Test ID: 2025-10-25-13-1 AASHTO T308-10 (Verified)
DIME Test ID: 2025-10-25-13-2 AASHTO T209-12 (Verified)
DIME Test ID: 2025-10-25-13-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2025-10-25-13-4 AASHTO T269-24E25 (Verified)