Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994443 DEA: 053307C4 EFIS: 0514000028
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-41,46-44.5/45.3,54.0/57.8
Work Description: Wye Segment - Route 41/46 Separation
Location Description:
Contractor Name: Atkinson Construction
Contractor Address: 18201 Von Karman - Suite 800, Irvine, CA 92612
Resident Engineer: Brian Harrington Structure Rep.: Dave Lewis
DIME Sample ID: 2026-01-06-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 01/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2026
The quantity of what the sample constitutes: Bridge- 2 Lanes and shoulders
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 49-0276 L
Structure name: Cholame Creek Bridge Left
The fabricator/manufacturer/facility name: ATKINSON CONSTRUCTION
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: N/A
DIST-CO-RTE: 05-SLO-46
Direction of Travel: East
Post Mile:
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station: 1356+65.00
DIME Test ID: 2026-01-06-1-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 01/13/2026
Date Tested: 01/13/2026
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: BR#49-0277L-APPROACH AND DEPARTURE SLABS BOTH PASSED WITH AN AVG OF .38
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.41
|
DIME Test ID: 2026-01-06-1-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 01/13/2026
Date Tested: 01/13/2026
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: BR#49-0276L-APPROACH AND DEPARTURE SLABS BOTH PASSED WITH AN AVG OF .39
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.41
|
