Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213918 DEA: 063HT014 EFIS: 0615000116
QA Service Level: 2
DIST-CO-RTE-PM: 06---
Work Description: (Alternative Delivery)
Location Description:
Contractor Name: Dragados Flatiron Joint Venture (DFJV)
Contractor Address: Unknown
Resident Engineer: Fernando De Alba Structure Rep.: Nathan Quiroz
DIME Sample ID: 2023-02-13-55
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 02/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 02/13/2023
The quantity of what the sample constitutes: BRIDGE
A brief description of the sample: BRIDGE
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: SKID TEST
DIME Test ID: 2023-02-13-55-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 03/06/2023
Date Tested: 02/13/2023
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?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.30
|
DIME Test ID: 2023-02-13-55-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 03/06/2023
Date Tested: 02/13/2023
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?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.28
|
DIME Test ID: 2023-02-13-55-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 03/06/2023
Date Tested: 02/23/2023
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: RETEST
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.31
|
DIME Test ID: 2023-02-13-55-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 03/06/2023
Date Tested: 02/23/2023
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: RETEST
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.34
|