Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000775 DEA: 022J9704 EFIS: 0221000154
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5,89-Var
Work Description: BRIDGE POLYESTER CONCRETE OVERLAY AND METHACRYLATE DECK SEAL.
Location Description: SHASTA COUNTY ON ROUTE 5 AT VARIOUS LOCATIONS FROM ANTLER UNDERCROSSING TO SODA CREEK ROAD UNDERCROSSING AND ON ROUTE 89 AT VARIOUS LOCATIONS FROM HAT CREEK BRIDGE NO. 06-0085 TO CAYTON CREEK BRIDGE
Contractor Name: MCCUEN CONSTRUCTION, INC.
Contractor Address: 3269 SWETZER ROAD, Loomis CA 95650
Resident Engineer: Kyle Higgins Structure Rep.: Chris Brace
DIME Sample ID: 2025-11-05-11
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3667 - Red Bluff
Sample Organization Contact: (530) 440-9544
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 11/05/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/05/2025
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: 06-0113
Structure name: Creekside Rd UC
The fabricator/manufacturer/facility name: McCuen Construction
DIME Test ID: 2025-11-05-11-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Creekside RD Lane 2
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
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Bridge Deck
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|
Average Coefficient of Friction
|
0.48
|
DIME Test ID: 2025-11-05-11-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Creekside RD Lane 1
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.42
|
DIME Test ID: 2025-11-05-11-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Creekside RD SB Lane 1
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.42
|
DIME Test ID: 2025-11-05-11-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Creekside RD SB Lane 2
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.42
|
DIME Test ID: 2025-11-05-11-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Sutter Creek RD Lane 1
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.45
|
DIME Test ID: 2025-11-05-11-7
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Sutter Creek RD Lane 2
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.41
|
DIME Test ID: 2025-11-05-11-8
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Slate Creek RD Lane 1
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.42
|
DIME Test ID: 2025-11-05-11-9
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 12/08/2025
Date Tested: 12/03/2025
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: Slate Creek RD Lane 2
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.34
|
