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Sample Record for 2024-05-13-19

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

Project Information

Project ID: 1000005 DEA: 051Q1804 EFIS: 0522000179 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB,SLO-1,101,166,246-Var
Work Description: BRIDGE DECK SEALS, POLYESTER CONCRETE OVERLAYS, & REPLACE JOINT SEALS.
Location Description: SANTA BARBARA AND SAN LUIS OBISPO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1301 West 23rd Street, Tempe, AZ 85282
Resident Engineer: Philip Gaston Structure Rep.: Sal Heredia

Sample Information

DIME Sample ID: 2024-05-13-19
TL Number from the TL Form:
Sample Submitted By Organization: CT D05 - San Luis Obispo District Laboratory
Sample Organization Contact: 8057463562
Type of Sample: Department Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 05/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2024
The quantity of what the sample constitutes: TRIAL SLAB
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 51-0097L
Structure name: Santa Ynez River
The fabricator/manufacturer/facility name: Truesdell Corp.

Material Information

Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 05-SB-001
Direction of Travel: South
Post Mile: 22.52
Lanes to be Tested: Shoulder,Lane #1
Station:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-05-13-19-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/25/2024
Date Tested: 06/24/2024
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: WALDORF OH- TRIAL SLAB
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.43

Test 2 of 2

DIME Test ID: 2024-05-13-19-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/25/2024
Date Tested: 06/23/2024
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: HUASNA RIVER TRIAL SLAB
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.47