Sample Taken Date	09/02/2021	Sample Unique Key	30
Date that the sample was received by the laboratory/organization performing the testing	09/03/2021	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	James / Kevin
Last name of sampler or witnessed by	Burton / Oluoha	Title of sampler
Telephone number of sampler		Laboratory sample identification	1JA1, 1JA2, 1JB1, 1JB2
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Cemex, Fontana
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	1605762
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	TTI
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: 2021-09-02-30-1 CTM 523-May 2020 (Verified)
DIME Test ID: 2021-09-02-30-2 CTM 523-May 2020 (Verified)
DIME Test ID: 2021-09-02-30-3 CTM 523-July 2012 (Verified)
DIME Test ID: 2021-09-02-30-4 CTM 523-July 2012 (Verified)