Sample Record for 2025-06-10-5
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
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
Sample Information
DIME Sample ID: 2025-06-10-5
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: 06/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/10/2025
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: 44-0302
Structure name: Rocky Creek Viaduct
The fabricator/manufacturer/facility name: Gordon Ball Construction
Material Information
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 05-MON-001
Direction of Travel: North
Post Mile: 60.00
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station:
Test Results
Test 1 of 2
DIME Test ID: 2025-06-10-5-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Submitted By Organization: CT HQ - FFS - Skid Testing
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: steven.seifert@dot.ca.gov
Organization Phone: (916) 227-7287
This test has been superseded on 06/27/2025. The corrected test ID is: 2025-06-10-5-3
Reason: corrected
Test 2 of 2
DIME Test ID: 2025-06-10-5-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/27/2025
Date Tested: 06/27/2025
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 BRIDGE . VISUALLY INSPECTED ENTIRE BRIDGE WHICH HAD POLYESTER PLACED ON IT AS THAT IS THE SECTION OF THE BRIDGE THAT WAS REQUESTED FOR TESTING AND ALL LOOKED TO BE UNIFORMED IN BOTH DIRECTIONS
APPROACH SLAB-.44-.44-.44
= .44AVG
DEPARTURE SLAB .44-.44-.44=44AVG
The test was superseded from test ID: 2025-06-10-5-1
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.44
|
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2025-06-10-5-2 | CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid) | 06/13/2025 | 06/27/2025 | Donovan Brooks | CT HQ - FFS - Skid Testing | | HARISH THAKUR |
134617
