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Sample Record for 2023-03-03-8

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Project Information

Project ID: 215486 DEA: 040A0204 EFIS: 0400000129 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-15-15.7
Work Description: Construct roadway and bridge with structural concrete and CIDH piling
Location Description: District-County-Route-Post Mile: 04-Son-1-R15.0/R15.7
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Fabio La Serna Structure Rep.: Bunma Nou

Sample Information

DIME Sample ID: 2023-03-03-8
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: 03/03/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2023
The quantity of what the sample constitutes: BRIDGE DECK
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:
The fabricator/manufacturer/facility name: BRIDGE

Material Information

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

Test Results

Test 1 of 2

DIME Test ID: 2023-03-03-8-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 09/06/2023
Date Tested: 03/07/2023
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: SCOTTY CREEK/NB TESTING WAS DONE AFTER VISUAL WALK THROUGH
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.38

Test 2 of 2

DIME Test ID: 2023-03-03-8-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 09/06/2023
Date Tested: 03/07/2023
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: SCOTTY CREEK/SB. RAN TESTS THROUGHOUT BRIDGE RANDOM SPOTS AND ALL MET SPECS. TESTING WAS DONE AFTER VISUAL WALK THROUGH
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.39