Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000175 DEA: 032G8104 EFIS: 0322000165
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80,174-VAR
Work Description: PLACE POLYESTER CONCRETE OVERLAY.
Location Description: PLACER COUNTY AT VARIOUS LOCATIONS
Contractor Name: DEES BURKE ENGINEERING CONSTRUCTORS, LLC
Contractor Address: 207 W State Street, Ontario, CA 91762
Resident Engineer: Brigette Haddock Structure Rep.: Unknown
DIME Sample ID: 2024-10-27-1
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: 10/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/27/2024
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
DIME Test ID: 2024-10-27-1-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 12/17/2024
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: BR#24-0281K. TESTED AND VISUALLY INSPECTED AND FOUND TO BE UNIFORMED
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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0.47
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DIME Test ID: 2024-10-27-1-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 11/15/2024
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: BR#24-0282S. TESTED AND VISUALLY INSPECTED AND FOUND TO BE UNIFORMED
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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0.45
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DIME Test ID: 2024-10-27-1-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 11/15/2024
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: RIO LINDA BLVD BR#24-0203. TESTED AND VISUALLY INSPECTED AND FOUND TO BE UNIFORMED
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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0.42
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DIME Test ID: 2024-10-27-1-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 11/15/2024
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: RIO LINDA BLVD BR#24-0203. TESTED AND VISUALLY INSPECTED AND FOUND TO BE UNIFORMED
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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0.40
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DIME Test ID: 2024-10-27-1-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 11/15/2024
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: WINTERS STREET BR#24-0205. LANES VISUALLY INSPECTED AND FOUND TO BE UNIFORMED
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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0.42
|
DIME Test ID: 2024-10-27-1-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 10/29/2024
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: ROSEVILLE PKWY BR, VISUALLY INSPECTED. BOTH DIRECTIONS UNIFORMED
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
|
0.41
|
DIME Test ID: 2024-10-27-1-7
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 10/29/2024
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: COLFAX BR#19-0086. BOTH DIRECTIONS VISUALLY INSPECTED.
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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0.44
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DIME Test ID: 2024-10-27-1-8
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/17/2024
Date Tested: 12/17/2024
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: 80/5 CONNECTOR BR#24-0206F TESTED AND VISUALLY INSPECTED
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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0.35
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