Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994857 DEA: 010H6104 EFIS: 0117000241
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-36-13.5/R36.1
Work Description: COLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS.
Location Description: HUMBOLDT COUNTY AT AND NEAR BRIDGEVILLE FROM 3.4 MILES WEST OF GRIZZLY CREEK BRIDGE TO 0.8 MILE EAST OF SOUTH FORK VAN DUZEN RIVER
Contractor Name: MERCER FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Joaquin Rodriquez Structure Rep.: Shantanu Nalawade
DIME Sample ID: 2025-06-13-11
TL Number from the TL Form:
Sample Submitted By Organization: CT D01 - District 1 Materials Laboratory
Sample Organization Contact: (707) 496-0974
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 06/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/13/2025
The quantity of what the sample constitutes: 2 lanes
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: South Fork Van Duzen River Bridge
The fabricator/manufacturer/facility name: Highway Specialty
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 01-HUM-36
Direction of Travel:
Post Mile: 35.00
Lanes to be Tested: Lane #1,Lane #2
Station:
DIME Test ID: 2025-06-13-11-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2025
Date Tested: 06/17/2025
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: SOUTH FORK VAN DUZEN RIVER BRIDGE
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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0.35
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DIME Test ID: 2025-06-13-11-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2025
Date Tested: 06/17/2025
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: SOUTH FORK VAN DUZEN RIVER BRIDGE
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.37
|
