Project Information

Project ID: 214395 DEA: 103A7204 EFIS: 1013000259 QA Service Level: 1

DIST-CO-RTE-PM: 10-MER-99-20.1/24.3

Work Description: PLACE CRCP AND HMA.

Location Description: MERCED COUNTY IN AND NEAR ATWATER FROM 0.4 MILE SOUTH OF BUHACH OVERCROSSING TO 0.8 MILE NORTH OF WEST ATWATER OVERHEAD

Contractor Name: Bay Cities Paving & Grading

Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520

Resident Engineer: Muhammad Rahman Structure Rep.: Karen Sampson

Sample Information

DIME Sample ID: 2021-12-15-11

TL Number from the TL Form:

Sample Submitted By Organization: CT HQ - FFS - Skid Testing

Sample Organization Contact: (916) 227-7287

Type of Sample: Department Acceptance

Type of Material: Roadway/Bridge Surface

Sample Taken Date: 12/15/2021

Date that the sample was received by the laboratory/organization performing the testing: 12/02/2021

The quantity of what the sample constitutes: n/a

A brief description of the sample: bridge test

From where was the sample collected: Job Site

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: n/a

Material Information

Pavement Surface Type:

Type of Traffic Control Provided:

DIST-CO-RTE:

Direction of Travel:

Post Mile:

Lanes to be Tested:

Station:

Test Results

Test 1 of 2

DIME Test ID: 2021-12-15-11-1

Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)

Verified Date: 03/06/2023

Date Tested: 12/15/2021

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:

Additional Comments When Verified:

Pavement or Bridge Deck?	Bridge Deck
Average Coefficient of Friction	0.33

Test 2 of 2

DIME Test ID: 2021-12-15-11-2