Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214796 DEA: 024H1304 EFIS: 0218000134
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA,SIS-5,44,299-VAR
Work Description: TREAT BRIDGE DECKS AND REPLACE JOINT SEALS.
Location Description: SHASTA AND SISKIYOU COUNTIES AT VARIOUS LOCATIONS
Contractor Name: MYERS & SONS CONSTRUCTION, LLC
Contractor Address: 4600 NORTHGATE BLVD., STE 100, SACRAMENTO CA 95834
Resident Engineer: Nathan Alexander Structure Rep.: George Moore
DIME Sample ID: 2020-08-03-35
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Quality Assurance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 08/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/03/2020
The quantity of what the sample constitutes: 1 Bridge All Lanes Both Direction
A brief description of the sample: Fastrack
From where was the sample collected: Job Site
Laboratory sample identification: Skid Testing Unit
Structure unique identifier: 06-0035
Structure name: Redding OH Bridge
The fabricator/manufacturer/facility name: contractor
DIME Test ID: 2020-08-03-35-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 02/02/2023
Date Tested: 08/03/2020
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.39
|
