Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001144 DEA: 033G1304 EFIS: 0323002344
QA Service Level: 1
DIST-CO-RTE-PM: 03-YOL-VAR,16,113-0/0
Work Description: FURNISH AND PLACE POLYESTER CONCRETE OVERLAY.
Location Description: YOLO COUNTY AT VARIOUS LOCATIONS
Contractor Name: DEES BURKE ENGINEERING CONSTRUCTORS, LLC
Contractor Address: Unknown
Resident Engineer: Luis Pompa Structure Rep.: Unknown
DIME Sample ID: 2025-07-31-2
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3665 - Sacramento
Sample Organization Contact: (916) 768-8293
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/31/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/31/2025
The quantity of what the sample constitutes: POLYESTER CONCRETE
A brief description of the sample: POLYESTER BRIDGE DECK
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 22-0019
Structure name: Cache Creek
The fabricator/manufacturer/facility name: DBE
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 03-YOL-16
Direction of Travel: West
Post Mile: 3.87
Lanes to be Tested:
Station:
DIME Test ID: 2025-07-31-2-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 08/06/2025
Date Tested: 08/06/2025
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: CACHE CREEK BRIDGE
WB-.40-.41-.41 AVG=.41
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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