Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000938 DEA: 101U1004 EFIS: 1025000094
QA Service Level: 1
DIST-CO-RTE-PM: 10---
Work Description:
Location Description:
Contractor Name: Viking Construction Company
Contractor Address: P O BOX 1508, RANCHO CORDOVE, CA 95742-1508
Resident Engineer: Chris Hanson Structure Rep.: Daniel Laureno
DIME Sample ID: 2026-01-20-3
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3665 - Stockton
Sample Organization Contact: (916) 416-7793
Type of Sample: Informational
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 01/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/20/2026
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: 29-0095
Structure name: Calaveras River Bridge
The fabricator/manufacturer/facility name: Viking Construction Company
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 10-SJ-99-21.9
Direction of Travel: West
Post Mile:
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station: 21.91
DIME Test ID: 2026-01-20-3-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 01/27/2026
Date Tested: 01/26/2026
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:
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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0.32
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