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Sample Record for 2026-06-17-13

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

Project Information

Project ID: 1000704 DEA: 031J8001 EFIS: 0321000071 Permit Numbers: 0324NOP0141 QA Service Level: 2
DIST-CO-RTE-PM: 03---
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Ken Haas

Sample Information

DIME Sample ID: 2026-06-17-13
TL Number from the TL Form: CT HQ - FFS - Skid Testing
Sample Submitted By Organization: CT SC - 3665 - Rocklin
Sample Organization Contact: (530) 320-6475
Type of Sample: Production Start-Up
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 06/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/17/2026
The quantity of what the sample constitutes: contractor's trail pass for skid testing
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification: CT HQ - FFS - Skid Testing
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dees Burke Engineering Contractors

Material Information

Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE:
Direction of Travel:
Post Mile:
Lanes to be Tested: Shoulder
Station:
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2026-06-17-13-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/02/2026
Date Tested: 06/29/2026
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: 80/WATT OC-24-0290 SECOND SET OF TESTS TAKEN AT 500FT WHICH ALSO COMPLIES WITH AN AVG OF .41
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.40

Test

DIME Test ID: 2026-06-17-13-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
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
Data has not been verified.