Sample Taken Date	07/29/2019	Sample Unique Key	25
Date that the sample was received by the laboratory/organization performing the testing	07/30/2019	Sample type	Per Request
A brief description of the sample	Class 2 Agg Base	The quantity of what the sample constitutes	2 bags
From where was the sample collected	Job Site	First name of sampler or witnessed by	Colton
Last name of sampler or witnessed by	Carrington	Title of sampler	TET
Telephone number of sampler		Laboratory sample identification	8658
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Caltrans
Transportation Laboratory (TL) Number	C660990	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 on site
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	1 inch
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Test ID: 2019-07-29-25-5 CTM 202-November 2011 (Verified)
DIME Test ID: 2019-07-29-25-6 CTM 217-June 2011 (Verified)
DIME Test ID: 2019-07-29-25-7 CTM 229-June 2011 (Verified)
DIME Test ID: 2019-07-29-25-8 CTM 301-March 2000 (Verified)