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Sample Record for 2024-08-21-51

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

Project Information

Project ID: 1000030 DEA: 101P7304 EFIS: 1022000157 QA Service Level: 1
DIST-CO-RTE-PM: 10-AMA,ED-49,88,104-Var
Work Description: BRIDGE REHABILITATION AND POLYESTER CONCRETE OVERLAY.
Location Description: AMADOR AND EL DORADO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: MCCUEN CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Iqbal Aulakh Structure Rep.: Dave Carlin

Sample Information

DIME Sample ID: 2024-08-21-51
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: 08/21/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2024
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Towed Trailer
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: Consumnes River Br
The fabricator/manufacturer/facility name: Job Site

Material Information

Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: N/A
DIST-CO-RTE:
Direction of Travel: North
Post Mile:
Lanes to be Tested:
Station:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-08-21-51-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 08/22/2024
Date Tested: 08/21/2024
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: Consumnes River Br.
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.40

Test 2 of 2

DIME Test ID: 2024-08-21-51-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 08/22/2024
Date Tested: 08/21/2024
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: Consumnes River Br. SB
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.45