Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212800 DEA: 100G8304 EFIS: 1012000316
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-152,140,152-Var
Work Description: MERCED SEISMIC RESTORATION
Location Description: IN MERCED COUNTY ON STATE ROUTES, 59, 140 AND 152 AT VARIOUS BRIDGES.
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: 11315 SUNRISE GOLD CIR. #A, RANCHO CORDOVA CA 95742
Resident Engineer: Jagga Dhami Structure Rep.: Natasha Collins
DIME Sample ID: 2025-07-09-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D10 - Turlock Structures Construction Field Office
Sample Organization Contact: (209) 815-3666
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/09/2025
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: 39-0034R
Structure name: Eastside Bypass Channel Bridge No. 39-0034R
The fabricator/manufacturer/facility name: Dees Burke
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 10-MER-152
Direction of Travel: East
Post Mile: 39.29
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station:
DIME Test ID: 2025-07-09-8-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/16/2025
Date Tested: 07/15/2025
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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0.41
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