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Sample Record for 2025-10-15-5

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

Project Information

Project ID: 1000731 DEA: 042Q4404 EFIS: 0419000013 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-121-6.5,8.4
Work Description: REMOVE BR AND AC SURF, CONSTRUCT BR DECK, RAILING AND POLYESTER CONC.
Location Description: SONOMA COUNTY NEAR SONOMA AT YELLOW CREEK BRIDGE AND AT ARROYO SECO BRIDGE
Contractor Name: GORDON N. BALL, INC.
Contractor Address: Unknown
Resident Engineer: Fabio La Serna Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2025-10-15-5
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Novato Field Office
Sample Organization Contact: (916) 621-8033
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 10/15/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/24/2025
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: 20-0023
Structure name: Arroyo Seco bridge
The fabricator/manufacturer/facility name: DBE

Material Information

Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 04-Son-121
Direction of Travel: East
Post Mile: 8.40
Lanes to be Tested: Lane #1,Lane #2
Station:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-10-15-5-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/24/2025
Date Tested: 10/24/2025
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: Tested WB AS WELL WITH SIMILAR NUMBERS.
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.42

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-10-15-5-1CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)10/15/202510/24/2025Josh VelonoCT HQ - FFS - Skid TestingPolyester overlay is scheduled on the 24th of October. Area is currently in full closure. Please coordinate with Jeremy Light for detailed schedule.