Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994698 DEA: 101N7804 EFIS: 1022000026
QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-99-21.6,23.5
Work Description: REPLACE JOINT SEALS AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE.
Location Description: MERCED COUNTY IN ATWATER AT EAST ATWATER OVERHEAD AND AT WEST ATWATER OVERHEAD
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W 23RD STREET, TEMPE AZ 85282
Resident Engineer: Tofael Anwar Structure Rep.: Karen Sampson
DIME Sample ID: 2023-10-12-50
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: 10/12/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/12/2023
The quantity of what the sample constitutes: POLY
A brief description of the sample: POLY
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JOB SITE
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Moving Lane Closure
DIST-CO-RTE:
Direction of Travel: North
Post Mile:
Lanes to be Tested:
Station:
DIME Test ID: 2023-10-12-50-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/27/2023
Date Tested: 10/12/2023
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: TRIAL SLAB
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
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Bridge Deck
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Average Coefficient of Friction
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0.47
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DIME Test ID: 2023-10-12-50-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 10/27/2023
Date Tested: 10/24/2023
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: 99 NB EA ATWATER OH/39-0126L
Test Result Compliance: complies
Additional Comments When Verified:
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Pavement or Bridge Deck?
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Bridge Deck
|
|
Average Coefficient of Friction
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0.38
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