Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995524 DEA: 021H3604 EFIS: 0216000040
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96-76.8/78.0
Work Description: REPLACE BRIDGE.
Location Description: SISKIYOU COUNTY NEAR HORSE CREEK FROM 0.4 MILE WEST OF KLAMATH RIVER BRIDGE TO 2.0 MILES WEST OF KOHL CREEK
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Ave, Sacramento, CA 95838
Resident Engineer: Nicholas Riddle Structure Rep.: Mike Sears
DIME Sample ID: 2025-07-10-17
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: 07/10/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/10/2025
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: 02-0210
Structure name: Klamath River Bridge
The fabricator/manufacturer/facility name: Myers and Sons Construction
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: N/A
DIST-CO-RTE: 02-Sis-96
Direction of Travel: West
Post Mile: 76.80
Lanes to be Tested: Lane #1,Lane #2
Station:
DIME Test ID: 2025-07-10-17-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/31/2025
Date Tested: 07/30/2025
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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0.39
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