Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000996 DEA: 101S6404 EFIS: 1024000105
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-165-L0.0/7.0,8.7/16.5
Work Description: RESURFACE PAVEMENT WITH RHMA AND HMA.
Location Description: MERCED COUNTY IN AND NEAR LOS BANOS FROM 0.3 MILE SOUTH OF POLE LINE ROAD TO 0.2 MILE SOUTH OF MASON ROAD AND FROM 0.1 MILE SOUTH OF CANAL FARM LANE TO 1.4 MILES NORTH OF WOLFSEN ROAD
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Jagga Dhami Structure Rep.: Unknown
DIME Sample ID: 2025-09-05-13
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: 09/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/05/2025
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: 39-0201
Structure name: Outside Canal
The fabricator/manufacturer/facility name: Dees Burke
Pavement Surface Type: Methacrylate Resin
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 10-Mer-165
Direction of Travel: South
Post Mile: 4.52
Lanes to be Tested: Shoulder
Station:
DIME Test ID: 2025-09-05-13-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 09/11/2025
Date Tested: 09/11/2025
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: OUTSIDE CANAL BR #39-0201
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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0.40
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