Sample Taken Date	04/30/2026	Sample Unique Key	36
Date that the sample was received by the laboratory/organization performing the testing	04/30/2026	Sample type	Acceptance
A brief description of the sample	1"x#4 Con Agg & Con Sand	The quantity of what the sample constitutes	2000cy
From where was the sample collected	Source	First name of sampler or witnessed by	Brian
Last name of sampler or witnessed by	Young	Title of sampler	TET
Telephone number of sampler		Laboratory sample identification	CA-01
Linked DIME Sample ID		The fabricator/manufacturer/facility name	7/11 Bishop
Transportation Laboratory (TL) Number	5305	Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name	Lab Footings
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	00
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 Plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number

DIME Test ID: 2026-04-30-36-1 AASHTO T176-08 (Verified)
DIME Test ID: 2026-04-30-36-2 AASHTO T27-14 (Verified)
DIME Test ID: 2026-04-30-36-3 AASHTO T27-14 (Verified)
DIME Test ID: 2026-04-30-36-4 CTM 227-December 2014 (Verified)