Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994785 DEA: 023H32U4 EFIS: 0221000164
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-I5-2.5/R15.9
Work Description: Roadway rehabilitation and bridge improvements along I5 in Mount Shasta
Location Description: SIS I5 2.5/R15.9
Contractor Name: Gordon Stout - Walsh/Myers
Contractor Address: 1390 Willow Pass Rd Suite 950, Concord, CA 94520
Resident Engineer: Austin Henry Structure Rep.: Mike Sears
DIME Sample ID: 2024-05-14-67
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: 05/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2024
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: Mainline Hwy 5 NB Sis PM 15./15.9
The fabricator/manufacturer/facility name: Jobsite
Pavement Surface Type: CRCP (Continuously Reinforced Concrete Pavement)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 02-Sis-5
Direction of Travel: North
Post Mile:
Lanes to be Tested: Lane #2
Station: 757+00
DIME Test ID: 2024-05-14-67-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/14/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.37
|
DIME Test ID: 2024-05-14-67-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/14/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.37
|
DIME Test ID: 2024-05-14-67-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.26
|
DIME Test ID: 2024-05-14-67-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.38
|
DIME Test ID: 2024-05-14-67-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.37
|
DIME Test ID: 2024-05-14-67-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.26
|
DIME Test ID: 2024-05-14-67-7
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.31
|
DIME Test ID: 2024-05-14-67-8
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.42
|
DIME Test ID: 2024-05-14-67-9
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 05/18/2024
Date Tested: 05/17/2024
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.41
|