Sample Taken Date	09/19/2023	Sample Unique Key	59
Date that the sample was received by the laboratory/organization performing the testing	09/21/2023	Sample type	Department Acceptance
A brief description of the sample	Concrete beams	The quantity of what the sample constitutes	3 Beams
From where was the sample collected	Job Site	First name of sampler or witnessed by	Rigoberto
Last name of sampler or witnessed by	Arroyo	Title of sampler
Telephone number of sampler		Laboratory sample identification	20-A1, 20-A2, 20-A3
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Robertson's Ready Mix - 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	LB0608SP
The truck number from where the sample was collected		The batch plant ticket number from where the sample was collected	7759205
Concrete batch plant		The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collected	back of concrete truck	Where the material sample would have been placed if not sampled
From Lot No.		Bag Lot No.

DIME Test ID: 2023-09-19-59-1 CTM 533-June 2010 (Verified)
DIME Test ID: 2023-09-19-59-2 CTM 504-June 2010 (Verified)
DIME Test ID: 2023-09-19-59-3 CTM 518-June 2010 (Verified)
DIME Test ID: 2023-09-19-59-4 CTM 523-May 2020 (Verified)