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Sample Record for 2025-07-15-20

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000885 DEA: 051R2904 EFIS: 0523000262 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101,217-Var
Work Description: BRIDGE DECK REPAIRS, POLYSTER CONCRETE OVERLAYS, AND HMA (TYPE A).
Location Description: SANTA BARBARA COUNTY AT VARIOUS LOCATIONS.
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W. 23rd Street, TEMPE AZ 85282
Resident Engineer: Arturo Lao Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-07-15-20
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Santa Barbara 1
Sample Organization Contact: (805) 441-6932
Type of Sample: Authorization
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2025
The quantity of what the sample constitutes: TEST PANEL
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 51-0341
Structure name: Southbound 101 SAN PEDRO CREEK BR
The fabricator/manufacturer/facility name: Truesdell Corp.

Material Information

Pavement Surface Type: Methacrylate Resin
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 05-SB-101
Direction of Travel: North
Post Mile: 22.80
Lanes to be Tested: Shoulder
Station:

Test Results

Test 1 of 2

DIME Test ID: 2025-07-15-20-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/24/2025
Date Tested: 07/23/2025
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: SAN PEDRO CREEK BRIDGE
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.41

Test 2 of 2

DIME Test ID: 2025-07-15-20-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/24/2025
Date Tested: 07/23/2025
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: LAS VEGAS CREEK BRIDGE
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.41

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-07-15-20-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)07/15/202507/20/2025Jose Fabian Velasco DiazCT SC - 3675 - Santa Barbara 1Test Panel Skid Test, night work under traffic control. Please contact Assistant Structure Rep. Patrick Ovesen 805-832-2865Jose Fabian Velasco Diaz