Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000915 DEA: 101R7004 EFIS: 1023000207
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5-0.3L/3.5
Work Description: REPLACE JOINT SEAL AND PLACE POLYESTER CONCRETE OVERLAY.
Location Description: SAN JOAQUIN COUNTY NEAR LATHORP AT VARIOUS LOCATIONS FROM GAFFERY ROAD OVERCROSSING TO ROUTE 5/132 SEPARATION
Contractor Name: MYERS & SONS CONSTRUCTION, LLC.
Contractor Address: 45 Morrison ave, Sacramento CA, 95838
Resident Engineer: Troy Scheiber Structure Rep.: Unknown
DIME Sample ID: 2025-09-05-17
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Concrete Testing Laboratory
Sample Organization Contact: (916) 206-4373
Type of Sample: Authorization
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: 8
A brief description of the sample: Skid Testing Surface Friction
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Myers & Sons
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 10 - SJ - 5
Direction of Travel: North
Post Mile:
Lanes to be Tested: Shoulder,Lane #1,Lane #2,Lane #3,Lane #4
Station:
DIME Test ID: 2025-09-05-17-2
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: 09/10/2025
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: HWY 5/132 SEPERATION/ LOCATION #7/BR#29-0244L. TRIAL SLAB
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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0.37
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