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Sample Record for 2023-07-27-27

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Project Information

Project ID: 2241 DEA: 043A6404 EFIS: 0400020507 COOP: 042383A QA Service Level: 2
DIST-CO-RTE-PM: 04-SF-80-12.3/13.2
Work Description: Phase 1: Replace connector ramps on the east side of Yerba Buena Island
Location Description: Phase 1: YBI to the State owned San Francisco-Oakland Bay Bridge (SFOBB) on Interstate Route 80
Contractor Name: Golden State Bridge, Inc.
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Mehran Ardakanian Structure Rep.: Rajesh Oberoi

Sample Information

DIME Sample ID: 2023-07-27-27
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: 07/27/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2023
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Skid Testing
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Job Site

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 3

DIME Test ID: 2023-07-27-27-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Submitted By Organization: CT HQ - FFS - Skid Testing
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: steven.seifert@dot.ca.gov
Organization Phone: (916) 227-7287
This test has been superseded on 07/28/2023. The corrected test ID is: 2023-07-27-27-3
Reason: corrected

Test 2 of 3

DIME Test ID: 2023-07-27-27-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/28/2023
Date Tested: 07/27/2023
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: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.20

Test 3 of 3

DIME Test ID: 2023-07-27-27-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 07/28/2023
Date Tested: 07/27/2023
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:
The test was superseded from test ID: 2023-07-27-27-1
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.22