Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002305 DEA: 033G2504 EFIS: 0323000268
QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-
Work Description:
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN EL DORADO COUNTY NEAR PLACERVILLE FROM EAST SHINGLE SPRINGS UNDERCROSSING TO FORNI ROAD OVERCROSSING AT VARIOUS LOCATIONS
Contractor Name: MYERS & SONS CONSTRUCTION, LLC.
Contractor Address: 45 Morrison ave, Sacramento CA, 95838
Resident Engineer: Spencer Adams Structure Rep.: Unknown
DIME Sample ID: 2026-07-02-3
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3665 - Shingle Springs
Sample Organization Contact: (530) 821-8266
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/02/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2026
The quantity of what the sample constitutes: Trial Slab
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: Myers and Sons Construction
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: N/A
DIST-CO-RTE: 03-ED-50
Direction of Travel: East
Post Mile:
Lanes to be Tested: Lane #1
Station: 0
DIME Test ID: 2026-07-02-3-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/06/2026
Date Tested: 07/06/2026
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: RESULTS SHOWN ARE FOR METHACRYALATE SLAB.
Polyester Overlay Trial Slab.ALSO TESTED WITH AN .45 AVG AS WELL.
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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0.45
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