Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001963 DEA: 051S3204 EFIS: 0524000214
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR--unknown
Work Description: Bridge Prev Maint SBt and SCr Counties
Location Description:
Contractor Name: Trusdell Corporation Of California
Contractor Address: Unknown
Resident Engineer: Azin Sadeghi Structure Rep.: Daniel Dait
DIME Sample ID: 2026-05-14-24
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Santa Cruz Field Office
Sample Organization Contact: (925) 285-1217
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 05/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2026
The quantity of what the sample constitutes: 12'x12'x1" Trial Panel
A brief description of the sample: Skid Test Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Truesdell Corp.
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: N/A
DIST-CO-RTE: 05-SCr-001
Direction of Travel: North
Post Mile:
Lanes to be Tested: Off Ramp
Station:
DIME Test ID: 2026-05-14-24-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/27/2026
Date Tested: 05/26/2026
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: TRIAL SLAB-ALSO TESTED WITH NEW MICROGRIP TEST MACHINE WITH SIMILAR NUMBERS
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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0.38
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