Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994525 DEA: 031H9904 EFIS: 0317000043
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-68.3/69.7,0.0/R2.7
Work Description: RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY.
Location Description: PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Randie Babbini Structure Rep.: Carl Anderson
DIME Sample ID: 2024-10-10-41
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Quality Assurance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 10/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2024
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Portable Skid Test
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Kingvale UC
The fabricator/manufacturer/facility name: AT THE JOB SITE
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 03-Nev-80
Direction of Travel: East
Post Mile:
Lanes to be Tested:
Station:
DIME Test ID: 2024-10-10-41-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/15/2024
Date Tested: 10/15/2024
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: Approach
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
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Bridge Deck
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|
Average Coefficient of Friction
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0.38
|
DIME Test ID: 2024-10-10-41-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/15/2024
Date Tested: 10/10/2024
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: Bridge
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.41
|
DIME Test ID: 2024-10-10-41-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/15/2024
Date Tested: 10/15/2024
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: Departure
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.40
|
