Sample Taken Date	07/09/2019	Sample Unique Key	10
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	07/17/2019
Sample type	Per Request	A brief description of the sample	Import Borrow for use in Backfill
The quantity of what the sample constitutes	1 Bucket	From where was the sample collected	Source
First name of sampler or witnessed by	Unknown	Last name of sampler or witnessed by	Unknown
Title of sampler	QA Material Tester	Telephone number of sampler
Laboratory sample identification	8648	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Granite Construction	Transportation Laboratory (TL) Number	C661278
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)	Unknown
The fabricator's/manufacturer's product name for the sample	Unknown	The fabricator/manufacturer designation for the sample	Unknown
The plant number	Unknown	A detailed description of where the material sample was collected	Stockpile at plant
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1/2 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Test ID: 2019-07-09-10-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-07-09-10-6 CTM 204-June 2010 (Verified)
DIME Test ID: 2019-07-09-10-7 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-07-09-10-8 CTM 301-March 2000 (Verified)