Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994859 DEA: 021H5904 EFIS: 0216000025
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-43.5,57.0
Work Description: REPLACE CULVERTS WITH BRIDGES, STREAMBED RESTORATION, & LANDSCAPING.
Location Description: SISKIYOU COUNTY AT AND NEAR HAPPY CAMP AT 0.8 MILE WEST OF GORDON\\'S FERRY ROAD AND AT PORTUGUESE CREEK
Contractor Name: J.F. SHEA CONSTRUCTION, INC.
Contractor Address: 17400 CLEAR CREEK ROAD, REDDING, CA 96001
Resident Engineer: Nicholas Riddle Structure Rep.: Nicolas Jimenez
DIME Sample ID: 2025-05-21-14
TL Number from the TL Form:
Sample Submitted By Organization: CT D02 - Redding Construction Laboratory
Sample Organization Contact: (530) 949-7937
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 05/21/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2025
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: 02-0209
Structure name: Portuguese Creek
The fabricator/manufacturer/facility name: JF Shea Construction
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 02-Sis-96
Direction of Travel: West
Post Mile: 57.00
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station:
DIME Test ID: 2025-05-21-14-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/04/2025
Date Tested: 06/03/2025
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:
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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0.37
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