Sample Taken Date	08/13/2024	Sample Unique Key	6
Will the laboratory/organization for which you are a member perform testing on this material sample?	Yes	Date that the sample was received by the laboratory/organization performing the testing	08/13/2024
Sample type	Quality Assurance	A brief description of the sample	Concrete Aggregates
The quantity of what the sample constitutes	0-1000 yd3	From where was the sample collected	Manufacturer
First name of sampler or witnessed by	Noah	Last name of sampler or witnessed by	Hunt
Title of sampler	Senior Materials Tester	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Builders Concrete Ready Mix Plant Sanger	Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form		Structure unique identifier
Structure name

Material Type	Aggregate	Source Identification (SMARA, name of Pit or Job Site)	91-20-0016
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	Belt cut of Coarse and Fine Aggregate at Source
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

DIME Test ID: 2024-08-13-6-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-08-13-6-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-08-13-6-3 CTM 227-December 2014 (Verified)
DIME Test ID: 2024-08-13-6-4 CTM 217-June 2011 (Verified)