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Sample Record for 2023-06-16-1

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

Project Information

Project ID: 994392 DEA: 043W5704 EFIS: 0421000389 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-12,101,128-Var
Work Description: POLYESTER CONCRETE OVERLAY.
Location Description: SONOMA COUNTY AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS
Contractor Address: 3701 MALLARD DRIVE, BENICIA CA 94510
Resident Engineer: leonard brajnikoff Structure Rep.: Nick Abuhamdieh

Sample Information

DIME Sample ID: 2023-06-16-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 06/16/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2023
The quantity of what the sample constitutes: BRIDGE DECK
A brief description of the sample: POLY
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: RUSSIAN RIVER BRIDGE
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

Test 1 of 2

DIME Test ID: 2023-06-16-1-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/16/2023
Date Tested: 06/16/2023
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: EB PART 1
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.43

Test 2 of 2

DIME Test ID: 2023-06-16-1-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 06/16/2023
Date Tested: 06/16/2023
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: EB PART 2
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.42