Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000927 DEA: 101R7204 EFIS: 1023000209
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5,99-Var
Work Description: PLACE POLYESTER CONCRETE OVERLAY, TRAFFIC STRIPE, COLD PLANE, AND HMA.
Location Description: SAN JOAQUIN COUNTY AT VARIOUS LOCATIONS
Contractor Name: MCCUEN CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: David Abledu Structure Rep.: Unknown
DIME Sample ID: 2026-05-12-5
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3665 - Stockton
Sample Organization Contact: (916) 416-7793
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 05/12/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2026
The quantity of what the sample constitutes: Multiple Lanes
A brief description of the sample: Skid Testing
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hwy 5 Stockton
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 10-SJ-5
Direction of Travel: North
Post Mile:
Lanes to be Tested: Shoulder,Lane #1,Lane #2,Lane #3,Lane #4,Lane #5
Station:
DIME Test ID: 2026-05-12-5-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2026
Date Tested: 05/12/2026
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: ANDASON BR.
APPROACH SLAB COMPLIES WITH-.40-.42-.43=.42 AVG
DEPARTURE SLAB COMPLIES WITH-.35-.40-.40= .38AVG
VISUALLY INSPECTED ENTIRE BRIDGE.
Test Result Compliance: complies
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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0.35
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DIME Test ID: 2026-05-12-5-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2026
Date Tested: 05/12/2026
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: CHARTER WAY BR
VISUALLY INSPECTED ENTIRE BRIDGE.
APPROACH SLAB COMPLIES WITH-.35-.39-.40=.40 AVG
DEPARTURE SLAB COMPLIES WITH-.33-.38-.39=.37 AVG
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.39
|
