Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 2949 DEA: 05330714
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-51.7/59.8
Work Description: CONVERT 2 LANE HIGHWAY TO 4 LANE EXPRESSWAY
Location Description:
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P O BOX 2217, PISMO BEACH CA 93448
Resident Engineer: RAMON HOPKINS Structure Rep.: Unknown
DIME Sample ID: 2024-12-05-37
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: 12/05/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/05/2024
The quantity of what the sample constitutes: skid testing
A brief description of the sample: Portable Skid Testing
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Cholame Creek Br.
The fabricator/manufacturer/facility name: job site
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 05-SLO-46
Direction of Travel: West
Post Mile:
Lanes to be Tested:
Station:
DIME Test ID: 2024-12-05-37-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/10/2024
Date Tested: 12/05/2024
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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0.39
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