Sample Taken Date	02/22/2022	Sample Unique Key	32
Will the laboratory/organization for which you are a member perform testing on this material sample?	No	Date that the sample was received by the laboratory/organization performing the testing	02/22/2022
Sample type	Aggregate Prequalification Program	A brief description of the sample	Washed 3/8" Crushed
The quantity of what the sample constitutes	5 Bags	From where was the sample collected	Supplier
First name of sampler or witnessed by	Michael	Last name of sampler or witnessed by	Maldonado
Title of sampler	QC	Telephone number of sampler
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Vulcan Materials - Fish Canyon Quarry	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)	91-19-0035::FISH CANYON QUARRY
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	Stockpile
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	3/8 inch
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

DIME Test ID: 2022-02-22-32-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-02-22-32-2 CTM 211-May 2010 (Verified)
DIME Test ID: 2022-02-22-32-3 CTM 214-August 2010 (Verified)
DIME Test ID: 2022-02-22-32-4 CTM 227-December 2014 (Verified)