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Sample Record for 2024-10-08-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000080 DEA: 061F2004 EFIS: 0622000190 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-190-R32.8,R40.0
Work Description: PLACE POLYESTER CONCRETE OVERLAY, EPOXY INJECTION, AND JOINT SEAL.
Location Description: TULARE COUNTY NEAR SPRINGVILLE AT NORTH FORK TULE RIVER BRIDGE AND AT NORTH FORK MIDDLE FORK TULE RIVER BRIDGE
Contractor Name: T.P.A. CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Cesar Mandujano Structure Rep.: Albert Heredia

Sample Information

DIME Sample ID: 2024-10-08-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 10/08/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2024
The quantity of what the sample constitutes: POLYESTER
A brief description of the sample: polyester
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JOB SITE

Material Information

Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Moving Lane Closure
DIST-CO-RTE:
Direction of Travel:
Post Mile:
Lanes to be Tested:
Station:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-10-08-3-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Submitted By Organization: CT HQ - FFS - Skid Testing
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: steven.seifert@dot.ca.gov
Organization Phone: (916) 227-7287
This test has been superseded on 10/18/2024. The corrected test ID is: 2024-10-08-3-2
Reason: corrected

Test 2 of 2

DIME Test ID: 2024-10-08-3-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/18/2024
Date Tested: 10/18/2024
Submitted By Organization: CT HQ - FFS - Skid Testing
Organization Address: ,
Organization City:
Organization State:
Organization Zipcode:
Organization Email: steven.seifert@dot.ca.gov
Organization Phone: (916) 227-8588
General Comments for this Test: North Fork Tule River Bridge #46-0008
The test was superseded from test ID: 2024-10-08-3-1
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.46