Sample Taken Date	09/10/2026	Sample Unique Key	52
Date that the sample was received by the laboratory/organization performing the testing	09/18/2026	Sample type	Verification
A brief description of the sample	1/2" RWMA O SP No LAS	The quantity of what the sample constitutes	2 Bags of Agg.
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Cuong
Last name of sampler or witnessed by	Pham	Title of sampler
Telephone number of sampler		Laboratory sample identification	0569O-26
Linked DIME Sample ID		The fabricator/manufacturer/facility name	R.J. Noble Company - Orange
Transportation Laboratory (TL) Number		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)	91-33-0035
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	Belt Cut at Plant
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: 2026-09-10-52-1 AASHTO T27-14 (Verified)
DIME Test ID: 2026-09-10-52-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2026-09-10-52-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2026-09-10-52-8 ASTM D4791-10 (Verified)