Sample Taken Date	08/30/2022	Sample Unique Key	79
Date that the sample was received by the laboratory/organization performing the testing	08/30/2022	Sample type	Department Acceptance
A brief description of the sample	4 bags of 3/4-inch Class 2 Aggregate Base for use in Structural Backfill	The quantity of what the sample constitutes	Structural Backfill?
From where was the sample collected	Manufacturer	First name of sampler or witnessed by	Dave
Last name of sampler or witnessed by	Lockett	Title of sampler	Consultant
Telephone number of sampler		Laboratory sample identification	D79146
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Vulcan Materials
Transportation Laboratory (TL) Number	036612	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)	Vulcan Materials
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	Manufacturing Facility
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/4 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Test ID: 2022-08-30-79-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-30-79-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-08-30-79-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2022-08-30-79-4 CTM 301-March 2000 (Verified)