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: 2026-08-10-3
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: 08/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/10/2026
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: 45-0106
Structure name: IL#8 SR43 OC North of Nevada
The fabricator/manufacturer/facility name: AT THE JOB SITE
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE:
Direction of Travel:
Post Mile: 6.81
Lanes to be Tested: Lane #1,Lane #2
Station:
DIME Test ID: 2026-08-10-3-1
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: 08/17/2026
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: SR43 OH North of Nevada Overcrossing.
NB DIRECTION ALSO COMPLIES WITH AN .48 AVG
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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