Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000409 DEA: 051S1604 EFIS: 0524000176
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-1-60
Work Description: Rocky Creek Slip Out Permanent Restoration Project
Location Description:
Contractor Name: Gordon N Ball, Inc. (Fred Velasco/Stuart Yamamoto)
Contractor Address: 333 Camille Avenue, Alamo, CA 94507
Resident Engineer: Jorge Uberhuaga Structure Rep.: Daniel Dait
DIME Sample ID: 2025-01-30-1
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Monterey, Santa Cruz, San Benito
Sample Organization Contact: (805) 471-2109
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 01/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/30/2025
The quantity of what the sample constitutes: Newly constructed SB Lane
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 44-0302
Structure name: Rocky Creek Viaduct
The fabricator/manufacturer/facility name: Gordon Ball Construction
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 05-MON-001
Direction of Travel: South
Post Mile: 60.00
Lanes to be Tested: Shoulder,Lane #1
Station:
DIME Test ID: 2025-01-30-1-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/11/2025
Date Tested: 02/11/2025
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: ROCKY CREEK SLIP OUT
Test Result Compliance: does not comply
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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0.30
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DIME Test ID: 2025-01-30-1-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/26/2025
Date Tested: 02/26/2025
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: ROCKY CREEK SLIP OUT POLY APPROACH SLAB
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.44
|
DIME Test ID: 2025-01-30-1-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/26/2025
Date Tested: 02/26/2025
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: ROCKY CREEK SLIP OUT/SB
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
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0.42
|
