Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213918 DEA: 063HT014 EFIS: 0615000116
QA Service Level: 2
DIST-CO-RTE-PM: 06---
Work Description: (Alternative Delivery)
Location Description:
Contractor Name: Dragados Flatiron Joint Venture (DFJV)
Contractor Address: Unknown
Resident Engineer: Fernando De Alba Structure Rep.: Nathan Quiroz
DIME Sample ID: 2026-07-06-10
TL Number from the TL Form:
Sample Submitted By Organization: California High Speed Rail Authority - Selma
Sample Organization Contact: (559) 939-7402
Type of Sample: Quality Assurance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/06/2026
The quantity of what the sample constitutes: 1
A brief description of the sample: Portable Skid Testing
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: SR 137/Corcoran HWY (Waukena Ave)
The fabricator/manufacturer/facility name: AT THE JOB SITE
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE:
Direction of Travel:
Post Mile: .01
Lanes to be Tested:
Station:
DIME Test ID: 2026-07-06-10-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/15/2026
Date Tested: 07/15/2026
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: CORCORAN HWY OH
ENTIRE BRIDGE VISUALLY INSPECTED AND ALL LOOKED UNIFORMED. EB DIRECTION OF TRAVEL TESTED WHICH ALSO COMPLIES WITH AN .48 AVG.
DEPARTURE AND APPROACH SLABS ALSO COMPLY.
1FT BY WALL EACH DIRECTION COULD NOT TEST AS MACHINE WILL NOT FIT IN AREA
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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0.48
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