Sample Taken Date	02/12/2020	Sample Unique Key	40
Date that the sample was received by the laboratory/organization performing the testing	02/13/2020	Sample type	Aggregate Prequalification Program
A brief description of the sample	Washed Concrete Sand	The quantity of what the sample constitutes	4 Bags
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Rene
Last name of sampler or witnessed by	Morquecho	Title of sampler	QC Technician
Telephone number of sampler	559-416-3147	Laboratory sample identification	20-APPF-0064
Linked DIME Sample ID	2020-2-12-36	The fabricator/manufacturer/facility name	CEMEX - Rockfield
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)	91-10-0014::ROCKFIELD PLANT
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
Where the material sample would have been placed if not sampled	Unknown	Primary Aggregate Nominal Size	fine
The concrete mix design number	Unknown	Lot number	Unknown
Sublot number	Unknown	Aggregate Mix Number	Not set

DIME Test ID: 2020-02-12-40-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-02-12-40-2 CTM 213-December 2012 (Verified)
DIME Test ID: 2020-02-12-40-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-02-12-40-4 CTM 229-June 2011 (Verified)