Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993279 DEA: 010E0904 EFIS: 0113000123
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-20-33.3/34.4
Work Description: CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location Description: MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
Contractor Name: Myers & Sons Construction LLC
Contractor Address: 4600 Northgate Blvd, Suite 100, Sacramento, CA 95838
Resident Engineer: Geoffrey Wright Structure Rep.: Kari Forbes
DIME Sample ID: 2023-10-20-13
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: 10/20/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/20/2023
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Skid Portable
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Russian River Br.
The fabricator/manufacturer/facility name: Job Site
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 01-Men-20
Direction of Travel: East
Post Mile:
Lanes to be Tested: Lane #1
Station: 25+50
DIME Test ID: 2023-10-20-13-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/23/2023
Date Tested: 10/20/2023
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
|
0.23
|
DIME Test ID: 2023-10-20-13-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/23/2023
Date Tested: 10/20/2023
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: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.37
|
