Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001955 DEA: 061H6904 EFIS: 0625000252
QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-190-42.75
Work Description: Install Sidehill Viaduct (Bridge No. 46-0285).
Location Description:
Contractor Name: CCFG Construction (Michael Niven)
Contractor Address: 17750 Wards Ferry Road, Sonora, CA 95370
Resident Engineer: Cesar Mandujano Structure Rep.: Ye Yang
DIME Sample ID: 2026-09-22-18
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Fresno Construction Field Office
Sample Organization Contact: (559) 243-3828
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 09/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/22/2026
The quantity of what the sample constitutes: Multiple Lanes
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: MCM Construction
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 06-TUL-190
Direction of Travel: North
Post Mile: 42.75
Lanes to be Tested: Shoulder,Lane #1
Station:
DIME Test ID: 2026-09-22-18-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 09/29/2026
Date Tested: 09/27/2026
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: SIDEHILL VIADUCT/BR#46-0285. VISUALLY IINSPECTED ENTIRE BRIDGE, ALL LOOKED UNIFORMED.
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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0.41
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