Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993446 DEA: 120J34U4 EFIS: 1218000034
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-55,55-29.6,R6.4/10.3
Work Description: CONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS.
Location Description: ORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 Townsgate Road, Suite 200, Westlake Village, CA 91361
Resident Engineer: Victor Valdovinos Structure Rep.: Yong Gyun Park
DIME Sample ID: 2026-10-07-11
TL Number from the TL Form:
Sample Submitted By Organization: Jacobs
Sample Organization Contact: (714) 725-0324
Type of Sample: Quality Assurance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 10/07/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2026
The quantity of what the sample constitutes: Multiple lanes on the bridge
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 55-0026
Structure name: South Tustin OH
The fabricator/manufacturer/facility name: Security Paving
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 12-ORA-55
Direction of Travel:
Post Mile: 9.52
Lanes to be Tested:
Station:
DIME Test ID: 2026-10-07-11-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/09/2026
Date Tested: 10/08/2026
Submitted By Organization: CT D08 - SRL Specialty Testing Unit 4101
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: brian.teh@dot.ca.gov
Organization Phone: (909) 601-5132
General Comments for this Test: So Tustin OH 55-0026
Bridge deck meets specs
Test Result Compliance: not applicable
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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0.39
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