Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994455 DEA: 100X7524 EFIS: 1017000004
QA Service Level: 1
DIST-CO-RTE-PM: 10-AMA-49-0.0/30.9
Work Description: Bridge widening and upgrading rails
Location Description: On State Highway in Amador and Calaveras Counties at Mokelumne River Bridge
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS INC.
Contractor Address: Unknown
Resident Engineer: Pawan Garg Structure Rep.: Braeden Anderson
DIME Sample ID: 2024-10-29-7
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: 10/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2024
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Skid Portable
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Mokelumne River Bridge
The fabricator/manufacturer/facility name: Job Site
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 10-Ama-49
Direction of Travel: South
Post Mile:
Lanes to be Tested: Lane #1
Station:
DIME Test ID: 2024-10-29-7-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/29/2024
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:
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
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