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Sample Record for 2024-05-02-3

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

Project Information

Project ID: 994696 DEA: 100Y7704 EFIS: 1015000008 QA Service Level: 1
DIST-CO-RTE-PM: 10-MPA-140-12.0/22.1
Work Description: REPLACE AC SURFACING, PLACE HMA AND RHMA, AND BRIDGE REPAIR.
Location Description: MARIPOSA COUNTY NEAR MARIPOSA FROM 1.3 MILES EAST OF CATHEYS VALLEY PARK TO 0.1 MILE NORTH OF ROUTE 49
Contractor Name: GEORGE REED, INC.
Contractor Address: 140 EMPIRE AVE, MODESTO CA 95354
Resident Engineer: Troy Scheiber Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-05-02-3
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: 05/02/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/24/2024
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Portable Skid Test
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Mariposa Creek bridge
The fabricator/manufacturer/facility name: AT THE JOB SITE

Material Information

Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE:
Direction of Travel: East
Post Mile: 21.60
Lanes to be Tested: Lane #1
Station:
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2024-05-02-3-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/22/2024
Date Tested: 05/21/2024
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: MARIPOSA CREEK BRIDGE/BR#40-0002
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.48