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Sample Record for 2020-03-11-11

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Project Information

Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405,73,405,605-9.3/24.3
Work Description: (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description: Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
Contractor Name: OC 405 Partners
Contractor Address: 3100 W Lake Center Dr, Santa Ana, CA 92704
Resident Engineer: Hank Alonso (reports) Structure Rep.: Cal Zachman (reports)

Sample Information

DIME Sample ID: 2020-03-11-11
TL Number from the TL Form:
Sample Submitted By Organization: CT 08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Quality Assurance
Type of Material: Skid Test
Sample Taken Date: 03/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2020
The quantity of what the sample constitutes: 2
A brief description of the sample: Bridge deck and Approach slap
From where was the sample collected: Job Site
Laboratory sample identification: 1200000180Rte405Magnolia St OC
Structure unique identifier: 55-1121
Structure name:
The fabricator/manufacturer/facility name: Structures

Material Information

Type of Surface: Grind PCC Deck
Date Surface placed: 02/03/2020
Bridge Number: 55 1121
Bridge Name: Magnolia St OC
Bridge Length: Unknown
Number of Lanes: Unknown

Test Results

Test 1 of 1

DIME Test ID: 2020-03-11-11-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 03/11/2020
Date Tested: 03/11/2020
Submitted By Organization: CT 08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email:
Organization Phone: 213-792-4794
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.43

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.