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Sample Record for 2026-08-07-4

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

Project Information

Project ID: 1000610 DEA: 101H3604 EFIS: 1017000185 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ, -4-
Work Description: PAINT BRIDGE STRUCTURAL STEEL AND PLACE POLYESTER CONCRETE.
Location Description: SAN JOAQUIN COUNTY NEAR DISCOVERY BAY AT OLD RIVER BRIDGE
Contractor Name: DISNEY CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Nomer Gutierrez Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2026-08-07-4
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: 08/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/07/2026
The quantity of what the sample constitutes: Skid test
A brief description of the sample: Bridge Deck Skid Test
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 29-0045
Structure name: Old River Bridge SR4
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
Direction of Travel: North
Post Mile:
Lanes to be Tested: Lane #1
Station: 0.0
Test results on following page(s): 1

Test Results

Test

DIME Test ID: 2026-08-07-4-1
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: VISUALLY INSPECTED ENTIRE BRIDGE, ALL LOOKED UNIFORMED, WB RECIEVED SIMILAR RESULTS
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.44