Sample Taken Date	05/14/2022	Sample Unique Key	33
Date that the sample was received by the laboratory/organization performing the testing	05/17/2022	Sample type	Department Acceptance
A brief description of the sample	Class 2 Aggregate Base for LCBRS	The quantity of what the sample constitutes	444 CY
From where was the sample collected	Job Site	First name of sampler or witnessed by	Kevin
Last name of sampler or witnessed by	Hopkins	Title of sampler	Plant Inspector
Telephone number of sampler	213-792-4793	Laboratory sample identification	6474
Linked DIME Sample ID		The fabricator/manufacturer/facility name	LB Crushing
Transportation Laboratory (TL) Number	C051422	Inspector Lot Number from the Transportation Laboratory (TL) Form	KH122V
Structure unique identifier		Structure name
Bid Item	Not set

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	LB Crushing: CMB / CL 2 BASE
The fabricator's/manufacturer's product name for the sample	LCBRS Mix	The fabricator/manufacturer designation for the sample	Flatiron West
The plant number	Flatiron Volumetric	A detailed description of where the material sample was collected	Stockpile @ Yard
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number	FIW 0110-1	Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Test ID: 2022-05-14-33-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-05-14-33-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-05-14-33-4 CTM 226-July 2010 (Verified)
DIME Test ID: 2022-05-14-33-5 CTM 202-November 2011 (Verified)