Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212286 DEA: 033H1604 EFIS: 0317000237
QA Service Level: 1
DIST-CO-RTE-PM: 03-COL-20-5.1/12.51
Work Description: repair/replace culverts; clear ditchs; repair/reconstruct shoulder
Location Description:
Contractor Name: A.TEICHERT & SON, INC.
Contractor Address: PO BOX 15002, SACRAMENTO, CA 95851
Resident Engineer: GARRETT GRIFFITH Structure Rep.: Unknown
DIME Sample ID: 2024-10-17-12
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: 10/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2024
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: Union School Slough & Cottonwood Slough
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-Yol-505
Direction of Travel: South
Post Mile:
Lanes to be Tested: Lane #2
Station:
DIME Test ID: 2024-10-17-12-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/17/2024
Date Tested: 10/17/2024
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: Union School Slough
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.27
|
DIME Test ID: 2024-10-17-12-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/17/2024
Date Tested: 10/17/2024
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: Cottonwood Slough
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.26
|
DIME Test ID: 2024-10-17-12-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/22/2024
Date Tested: 10/22/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.36
|
DIME Test ID: 2024-10-17-12-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/22/2024
Date Tested: 10/21/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.35
|
