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Sample Record for 2023-06-13-1

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Project Information

Project ID: 993751 DEA: 101N5704 EFIS: 1021000212 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5,205-R13.0,R13.1
Work Description: APPLY POLYESTER CONCRETE OVERLAY TO BRIDGE DECKS.
Location Description: SAN JOAQUIN COUNTY IN AND NEAR LATHROP ON ROUTE 5 AT PARADISE CUT BRIDGE AND ON ROUTE 205 AT E205-N5 CONNECTOR RAMP
Contractor Name: Truesdell Corporation - Matthew Pures
Contractor Address: 1310 W 23rd Street, Tempe, AZ 85282
Resident Engineer: David Abledu Structure Rep.: Ron Matin

Sample Information

DIME Sample ID: 2023-06-13-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Department Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 06/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/13/2023
The quantity of what the sample constitutes: bridge
A brief description of the sample: poly bridge
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: job site

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): 6

Test Results

Test 1 of 6

DIME Test ID: 2023-06-13-1-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/15/2023
Date Tested: 06/13/2023
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: PARADISE NB LANE #3 APPROACH
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.39

Test 2 of 6

DIME Test ID: 2023-06-13-1-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/15/2023
Date Tested: 06/13/2023
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: PARADISE NB BRIDGE LANE #3
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.41

Test 3 of 6

DIME Test ID: 2023-06-13-1-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/15/2023
Date Tested: 06/13/2023
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: PARADISE NB DEPARTURE LANE #3
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.42

Test 4 of 6

DIME Test ID: 2023-06-13-1-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/15/2023
Date Tested: 06/13/2023
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: E205/N5 CONNECTOR NB APPROACH LANE 1. LANE 2 WAS ALSO TESTED IN RANDOM SPOT, RESULTS AS GOOD AS LANE 1
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.39

Test 5 of 6

DIME Test ID: 2023-06-13-1-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/15/2023
Date Tested: 06/13/2023
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: E205/N5 CONNECTOR NB BRIDGE LANE 1. lANE 2 WAS ALSO TESTED AT RANDOM SPOTS AND VISUALLY INSPECTED, RESULTS WERE GOOD.
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.40

Test 6 of 6

DIME Test ID: 2023-06-13-1-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/15/2023
Date Tested: 06/13/2023
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: E205/N5 CONNECTOR NB DEPARTURE LANE 1. lANE 2 WAS ALSO TESTED AT RANDOM SPOTS AND VISUALLY INSPECTED, RESULTS WERE GOOD.
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.41