Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994245 DEA: 051H4304 EFIS: 0516000073
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-21.4/21.9
Work Description: San Jose Creek Bridge replacement
Location Description: SANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Fabian Velasco
DIME Sample ID: 2024-05-30-9
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Santa Barbara 1
Sample Organization Contact: (805) 441-6932
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 05/30/2024
Date that the sample was received by the laboratory/organization performing the testing: 05/30/2024
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: 51-0367R
Structure name: San Jose Creek Bridge (Replace) NB
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: 05-SB-101
Direction of Travel: North
Post Mile: 21.40
Lanes to be Tested: Shoulder,Lane #1,Lane #2
Station: 34+13.24
DIME Test ID: 2024-05-30-9-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/06/2024
Date Tested: 06/04/2024
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: SAN JOSE CREEK BRIDGE NB. DID VISUAL INSPECTION AND RANDOM TESTS ALONG BRIDGE AND ALL SIMILAR NUMBERS
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
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Bridge Deck
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Average Coefficient of Friction
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0.40
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DIME Test ID: 2024-05-30-9-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/06/2024
Date Tested: 06/04/2024
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: SAN JOSE CREEK BRIDGE APPROACH NB
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
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Bridge Deck
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|
Average Coefficient of Friction
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0.38
|
DIME Test ID: 2024-05-30-9-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/06/2024
Date Tested: 06/04/2024
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: SAN JOSE CREEK BRIDGE NB DEPARTURE SLAB. DID VISUAL INSPECTION AND RANDOM TESTS ALONG DEPARTURE SLAB AND ALL SIMILAR NUMBERS
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.39
|
DIME Test ID: 2024-05-30-9-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/06/2024
Date Tested: 06/05/2024
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: SAN JOSE CREEK BRIDGE SB APPROACH SLAB. DID VISUAL INSPECTION AND RANDOM TESTS ALONG APPROACH SLAB AND ALL SIMILAR NUMBERS
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.39
|
DIME Test ID: 2024-05-30-9-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/06/2024
Date Tested: 06/04/2024
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: SAN JOSE CREEK BRIDGE SBDID VISUAL INSPECTION AND RANDOM TESTS ALONG BRIDGE AND ALL SIMILAR NUMBERS.
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.40
|
DIME Test ID: 2024-05-30-9-7
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/06/2024
Date Tested: 06/05/2024
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: SAN JOSE CREEK BRIDGE SB DEPARTURE SLAB. DID VISUAL INSPECTION AND RANDOM TESTS ALONG DEPARTURE SLAB AND ALL SIMILAR LOW NUMBERS
Test Result Compliance: does not comply
Additional Comments When Verified:
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Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.32
|
DIME Test ID: 2024-05-30-9-8
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: SAN JOSE CREEK BRIDGE SB DEPARTURE SLAB-RETEST
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Bridge Deck
|
|
Average Coefficient of Friction
|
0.37
|
