Sample Taken Date	11/14/2013	Sample Unique Key	8004663
Date that the sample was received by the laboratory/organization performing the testing	11/21/2013	Sample type	Department Acceptance
A brief description of the sample	Class 4 Aggregate Subbase	The quantity of what the sample constitutes	2 Bags
From where was the sample collected	Other	First name of sampler or witnessed by	Unknown
Last name of sampler or witnessed by	Unknown	Title of sampler	Not set
Telephone number of sampler	Not set	Laboratory sample identification	3299B
Linked DIME Sample ID	Not set	The fabricator/manufacturer/facility name	Unknown
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	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	Unknown
The fabricator's/manufacturer's product name for the sample	Not set	The fabricator/manufacturer designation for the sample	Not set
The plant number	Not set	A detailed description of where the material sample was collected	Windrow
Where the material sample would have been placed if not sampled	Not set	Primary Aggregate Nominal Size
The concrete mix design number		Lot number	Not set
Sublot number	Not set	Aggregate Mix Number	Not set

DIME Test ID: 2013-11-14-8004663-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2013-11-14-8004663-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2013-11-14-8004663-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2013-11-14-8004663-4 CTM 301-March 2000 (Verified)