Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994673 DEA: 033F0704 EFIS: 0312000054
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-51-2.0/3.5
Work Description: American River Bridge Rehabilitation
Location Description:
Contractor Name: American River Constructors
Contractor Address: 4001 Bradshaw Road, Sacramento, CA 95827
Resident Engineer: John Ruzic Structure Rep.: Pha Tran
DIME Sample ID: 2025-10-06-4
TL Number from the TL Form:
Sample Submitted By Organization: CT D12 - Huntington Beach Field Laboratory
Sample Organization Contact: 9492798846
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 10/06/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/06/2025
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: 24-0003
Structure name: AMERICAN RIVER Bridge (BUS 80)
The fabricator/manufacturer/facility name: ABSL Construction
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 03-SAC-051-2.61-SAC
Direction of Travel: South
Post Mile: 2.61
Lanes to be Tested: Shoulder,Lane #1,Lane #2,Lane #3
Station:
DIME Test ID: 2025-10-06-4-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/08/2025
Date Tested: 10/08/2025
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: LANE #3 TESTED AND VISUALLY INSPECTED. AT 1000FT @ 14 LEFT-..26-.29-.27+.27 AVG DOES NOT COMPLY
LANE #3 @ 1500FT ..38-.38-.39=.38 AVG COMPLIES
SHOULDER NOT TESTED
Test Result Compliance: does not comply
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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0.27
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DIME Test ID: 2025-10-06-4-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/08/2025
Date Tested: 10/08/2025
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: LANE #1 VISUALLY INSPECTED AND TESTED. AT 1000FT -.36-.24-.27=.29 AVG DOES NOT COMPLY
LANE #1 @ 1500FT ..38-.37-.39=.38 AVG COMPLIES
SHOULDER NOT TESTED
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.27
|
DIME Test ID: 2025-10-06-4-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/08/2025
Date Tested: 10/08/2025
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: LANE #2 TESTED AND VISUALLY INSPECTED THROUGHOUT . AT 1000FT .38-.38-.38= .38 AVG AND AT 1500FT .37-.38-.38=.38 AVG
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.38
|