Sample Taken Date	10/09/2026	Sample Unique Key	1
Date that the sample was received by the laboratory/organization performing the testing	10/09/2026	Sample type	Acceptance
A brief description of the sample	A set of 2 JPCP concrete beam test specimens	The quantity of what the sample constitutes	Aggregate for JPCP - RSC
From where was the sample collected	Job Site	First name of sampler or witnessed by	Neale
Last name of sampler or witnessed by	Brown	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Holiday Rock - Bakersfield
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	49 - JOINTED PLAIN CONCRETE PAVEMENT (RSC)

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-15-0041
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	Conveyor Belt
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: 2026-10-09-1-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2026-10-09-1-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2026-10-09-1-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2026-10-09-1-4 CTM 227-December 2014 (Verified)