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Sample Record for 2026-01-27-1

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

Project Information

Project ID: 1000603 DEA: 051K4504 EFIS: 0518000209 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-R52.3/R56.1
Work Description: COLD PLANE AND RHMA/HMA ROADWAY AND BRIDGE, & REPLACE CULVERTS.
Location Description: SANTA BARBARA COUNTY NEAR BUELLTON FROM OLD COAST HIGHWAY TO 0.4 MILE SOUTH OF SANTA ROSA ROAD OVERCROSSING
Contractor Name: CALPORTLAND CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Jason Torres Structure Rep.: Cliff Raplogle

Sample Information

DIME Sample ID: 2026-01-27-1
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - Santa Barbara Field Laboratory
Sample Organization Contact:
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 01/27/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/27/2026
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:
Structure name:
The fabricator/manufacturer/facility name: CalPortland Construction - Garey

Material Information

Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE:
Direction of Travel:
Post Mile: 54.85
Lanes to be Tested:
Station:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2026-01-27-1-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/14/2026
Date Tested: 02/12/2026
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: DEPARTURE SLAB ALSO PASSED NB: .36-.36-.36=.36AVG
Test Result Compliance: complies
Additional Comments When Verified:
Due to test owner's privacy settings, you do not have permission to view this test data.

Test 2 of 2

DIME Test ID: 2026-01-27-1-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/14/2026
Date Tested: 02/13/2026
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: SB DEPARTURE SLAB ALSO PASSED:.42-.39-.38=.40
Test Result Compliance: complies
Additional Comments When Verified:
Due to test owner's privacy settings, you do not have permission to view this test data.