Sample Taken Date	07/20/2013	Sample Unique Key	6224317
Date that the sample was received by the laboratory/organization performing the testing	07/21/2013	Sample type	Quality Control
A brief description of the sample	concrete cylinders	The quantity of what the sample constitutes	4 cylinders
From where was the sample collected	Source	First name of sampler or witnessed by	Josh
Last name of sampler or witnessed by	Stubblefield	Title of sampler	Field Technician
Telephone number of sampler	Not set	Laboratory sample identification	Not set
Linked DIME Sample ID	Not set	The fabricator/manufacturer/facility name	High Grade
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier	Not set	Structure name	Not set
Bid Item	Not set

Material Type	Concrete	The concrete mix design number	HG53401R
The truck number from where the sample was collected	174	The batch plant ticket number from where the sample was collected	810770
Concrete batch plant	Not set	The fabricator/manufacturer designation for the sample	Not set
A detailed description of where the material sample was collected	Bent no. 2 - North Column	Where the material sample would have been placed if not sampled	Bent no. 2 - North Column
From Lot No.	Not set	Bag Lot No.	Not set

DIME Test ID: 2013-07-20-6224317-1 CTM 504-June 2010 (Verified)
DIME Test ID: 2013-07-20-6224317-2 CTM 556-June 2010 (Verified)
DIME Test ID: 2013-07-20-6224317-3 CTM 521-June 2012 (Verified)
DIME Test ID: 2013-07-20-6224317-4 ASTM C39-10 (Verified)