Sample Taken Date	02/09/2022	Sample Unique Key	55
Date that the sample was received by the laboratory/organization performing the testing	02/10/2022	Sample type	Aggregate Prequalification Program
A brief description of the sample	WCS	The quantity of what the sample constitutes	10 buckets
From where was the sample collected	Source	First name of sampler or witnessed by	Shon
Last name of sampler or witnessed by	Flores	Title of sampler	Laboratory Technician
Telephone number of sampler	(323) 333-0084	Laboratory sample identification	Big Rock ASP - 2022
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Coast Aggregates, Big Rock
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)	91-19-0054
The fabricator's/manufacturer's product name for the sample		The fabricator/manufacturer designation for the sample
The plant number		A detailed description of where the material sample was collected	Washed Concrete Sand Sample
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Test ID: 2022-02-09-55-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-09-55-2 CTM 213-December 2012 (Verified)
DIME Test ID: 2022-02-09-55-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-02-09-55-4 CTM 229-June 2011 (Verified)
DIME Test ID: 2022-02-09-55-5 CTM 214-August 2010 (Verified)