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Sample Record for 2024-06-16-14

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

Project Information

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

Sample Information

DIME Sample ID: 2024-06-16-14
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: 06/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2024
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 I5 468+90
The fabricator/manufacturer/facility name: AT THE JOB SITE

Material Information

Pavement Surface Type: CRCP (Continuously Reinforced Concrete Pavement)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE: 02-Sha-5
Direction of Travel: North
Post Mile:
Lanes to be Tested: Shoulder
Station: 468+90
Test results on following page(s): 11

Test Results

Test 1 of 11

DIME Test ID: 2024-06-16-14-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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 0.40

Test 2 of 11

DIME Test ID: 2024-06-16-14-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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

Test 3 of 11

DIME Test ID: 2024-06-16-14-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Shoulder / Lane 2
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.21

Test 4 of 11

DIME Test ID: 2024-06-16-14-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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 0.35

Test 5 of 11

DIME Test ID: 2024-06-16-14-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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 0.30

Test 6 of 11

DIME Test ID: 2024-06-16-14-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Lane #1
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.25

Test 7 of 11

DIME Test ID: 2024-06-16-14-7
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Lane #1
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.32

Test 8 of 11

DIME Test ID: 2024-06-16-14-8
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Includes 504+32 Off ramp area
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.38

Test 9 of 11

DIME Test ID: 2024-06-16-14-9
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Lane #1/Shoulder
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.24

Test 10 of 11

DIME Test ID: 2024-06-16-14-10
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Lane #1/ Shoulder
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.30

Test 11 of 11

DIME Test ID: 2024-06-16-14-11
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/17/2024
Date Tested: 06/16/2024
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: Lane #1/Shoulder
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Pavement
Average Coefficient of Friction 0.34