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Sample Record for 2025-01-13-2

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Project Information

Project ID: 993141 DEA: 060V1204 EFIS: 0616000207 QA Service Level: 1
DIST-CO-RTE-PM: 06-MAD-99-R6.9/R7.6
Work Description: Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location Description: MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
Contractor Name: Security Paving Company, Inc.
Contractor Address: 3075 Townsgate Road, Westlake Village CA 91361
Resident Engineer: Din Dadawalla Structure Rep.: Ye Yang

Sample Information

DIME Sample ID: 2025-01-13-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Fresno Construction Field Office
Sample Organization Contact: (559) 243-3828
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 01/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/13/2025
The quantity of what the sample constitutes: Multiple Lanes
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 41-0089S
Structure name: NB Offramp Cottonwood Creek Bridge
The fabricator/manufacturer/facility name: Security Paving Inc

Material Information

Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 06-Mad-99
Direction of Travel: North
Post Mile: 7.30
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-01-13-2-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/05/2025
Date Tested: 01/28/2025
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: NB 99 COTTONWOOD BR.
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.37

Test 2 of 2

DIME Test ID: 2025-01-13-2-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/05/2025
Date Tested: 01/28/2025
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: R5 BRIDGE LANES. VISUALLY INSPECTED ENTIRE SPAN AND ALSO RAN RANDOM TEST ALONG THE ROAD WITH BETTER NUMBERS
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.36