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Sample Record for 2026-07-19-21

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

Project Information

Project ID: 1001624 DEA: 101F3204 EFIS: 1016000047 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4-0.0/8.9
Work Description: PLACE RHMA AND REPLACE ASPHALT CONCRETE SURFACING.
Location Description: SAN JOAQUIN COUNTY NEAR DISCOVERY BAY FROM OLD RIVER BRIDGE TO 0.9 MILE EAST OF BACON ISLAND ROAD
Contractor Name: BAY CITIES PAVING & GRADING
Contractor Address: 1450 CIVIC CT, BLDG B #400, CONCORD, CA 94520
Resident Engineer: Nomer Gutierrez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2026-07-19-21
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: 07/19/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/07/2026
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Skid test on approach and departure
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 29-0049
Structure name: Middle River Bridge
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: 10-SJ-4-0.0/8.9
Direction of Travel: North
Post Mile:
Lanes to be Tested: Lane #1
Station: 6.5
Test results on following page(s): 1

Test Results

Test

DIME Test ID: 2026-07-19-21-9
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 08/18/2026
Date Tested: 08/16/2026
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: DEPARTURE SLAB EB COMPLIES WITH AN .44 AVG WB APPROACH SLAB COMPLIES WITH AN .47 AVG AND DEPARTURE SLAB WB COMPLIES WITH AN .43 AVG
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.43