Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-7.3/9.6
Work Description: !!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location Description: SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: PO Box 6744, Santa Barbara , CA 93111
Resident Engineer: Luobao Cai Structure Rep.: Emiliano Berntsen
DIME Sample ID: 2023-09-26-46
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: 09/26/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/26/2023
The quantity of what the sample constitutes: MAINLINE
A brief description of the sample: PCC
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JOB SITE
DIME Test ID: 2023-09-26-46-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/02/2023
Date Tested: 09/26/2023
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: MAINLINE 1.0 MILES LANES 1,2,3 TESTED AT VARIOUS POINTS THROUGHOUT THE STRETCH OF HIGHWAY. TESTED THROUGHOUT STRETCH WITH SIMILAR NUMBERS ALL THROUGHOUT THE WAY AT VARIOUIS LANES AND FOOTAGE ACCORDING TO TEST METHOD
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck?
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Pavement
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Average Coefficient of Friction
|
0.37
|
DIME Test ID: 2023-09-26-46-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/02/2023
Date Tested: 09/26/2023
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: EVANS BRIDGE APPROACH SLAB
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck?
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Bridge Deck
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Average Coefficient of Friction
|
0.37
|
DIME Test ID: 2023-09-26-46-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/02/2023
Date Tested: 09/26/2023
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: SHEFFIELD UC BRIDGE, BRIDGE AND DEPARTURE.SLAB. DEPARTUR SLAB TEST #'S .36..36..37. DEPARTURE SLAB COMPLIES
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.36
|
DIME Test ID: 2023-09-26-46-4
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/02/2023
Date Tested: 09/26/2023
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: SHEFFIELD UC BRIDGE- APPROACH SLAB
Test Result Compliance: does not comply
Additional Comments When Verified:
Pavement or Bridge Deck?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.34
|
DIME Test ID: 2023-09-26-46-5
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/02/2023
Date Tested: 09/26/2023
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: EVANS BRIDGE DEPARTURE SLAB
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.36
|
DIME Test ID: 2023-09-26-46-6
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/06/2023
Date Tested: 10/30/2023
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: EVANS AVE UC-SB. APPROACH AND DEPARTURE SLABS COMPLY AS WELL AS THEY RECEIVED SAME NUMBERS
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck?
|
Bridge Deck
|
Average Coefficient of Friction
|
0.41
|
DIME Test ID: 2023-09-26-46-11
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/06/2023
Date Tested: 10/30/2023
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: SB101 LANE 3/1. TESTED AT VARIOUS RANDOM SPOTS ABOUT .5 MILES LONG STRETCH
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck?
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Pavement
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Average Coefficient of Friction
|
0.39
|