Sample Taken Date	04/20/2022	Sample Unique Key	72
Date that the sample was received by the laboratory/organization performing the testing	04/20/2022	Sample type	Quality Control
A brief description of the sample	CIP Concrete Aggregates	The quantity of what the sample constitutes	1 per day
From where was the sample collected	Source	First name of sampler or witnessed by	Jose
Last name of sampler or witnessed by	Tellez	Title of sampler
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Calportland - Paso Robles
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)	91-40-0013
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	At the plant
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	1 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Test ID: 2022-04-20-72-1 CTM 226-July 2010 (Verified)
DIME Test ID: 2022-04-20-72-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-04-20-72-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-04-20-72-4 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-04-20-72-5 CTM 202-November 2011 (Verified)