Sample Taken Date	03/07/2024	Sample Unique Key	20
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	03/08/2024
Sample type	Acceptance	A brief description of the sample	Class II Aggregate Base
The quantity of what the sample constitutes	2 Bags of Agg Base	From where was the sample collected	Source
First name of sampler or witnessed by	Colton	Last name of sampler or witnessed by	Carrington
Title of sampler	TET	Telephone number of sampler
Laboratory sample identification	3867	Linked DIME Sample ID
The fabricator/manufacturer/facility name	Grinding Rock - Independence	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)	Grinding Rock - Pit Source
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 at Pit
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

DIME Test ID: 2024-03-07-20-1 AASHTO T176-08 (Verified)
DIME Test ID: 2024-03-07-20-2 AASHTO T27-14 (Verified)
DIME Test ID: 2024-03-07-20-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2024-03-07-20-4 CTM 301-March 2000 (Verified)