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Sample Record for 2023-08-14-36

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 994637 DEA: 022J9804 EFIS: 0221000155 QA Service Level: 1
DIST-CO-RTE-PM: 02-LAS,PLU,TEH-32,36,70,89,147,299,395-VAR
Work Description: PLACE POLYESTER CONCRETE OVERLAY, HMA (TYPE A), & REPLACE JOINT SEALS.
Location Description: LASSEN, PLUMAS, AND TEHAMA COUNTIES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: Unknown
Resident Engineer: Shoukie Alawar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-14-36
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: 08/14/2023
Date that the sample was received by the laboratory/organization performing the testing: 08/14/2023
The quantity of what the sample constitutes: job site
A brief description of the sample: JOB SITE
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 on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-08-14-36-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 08/16/2023
Date Tested: 08/14/2023
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: HAMILTON BRANCH-#09-0079 METHACRYALTE
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.45

Test 2 of 2

DIME Test ID: 2023-08-14-36-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 08/16/2023
Date Tested: 08/14/2023
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: PULLOUT 0.14 MILES NORTH OF PM 24.69. ASLO TESTED TRIAL SLAB IN FRONT OF THIS 1 WHICH GOT ALMOST EXACT NUMBERS
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.43