Sample Taken Date	07/28/2020	Sample Unique Key	34
Date that the sample was received by the laboratory/organization performing the testing	07/29/2020	Sample type	Department Acceptance
A brief description of the sample	Concrete beams	The quantity of what the sample constitutes	4 Beams
From where was the sample collected	Job Site	First name of sampler or witnessed by	Kevin
Last name of sampler or witnessed by	Oluoha	Title of sampler
Telephone number of sampler		Laboratory sample identification	3A1, 3A2, 3B1, 3B2
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Rainbow, Temecula
Transportation Laboratory (TL) Number		Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Concrete	The concrete mix design number	G3-20-PCC-214
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	TT1
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	On Job Site at Concrete Truck	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Test ID: 2020-07-28-34-1 CTM 523-July 2012 (Verified)
DIME Test ID: 2020-07-28-34-2 CTM 523-July 2012 (Verified)
DIME Test ID: 2020-07-28-34-3 CTM 523-July 2012 (Verified)
DIME Test ID: 2020-07-28-34-4 CTM 523-July 2012 (Verified)