Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994639 DEA: 032G5504 EFIS: 0321000238
QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT,COL,GLE-5,32,99,149,162-VAR
Work Description: PLACE AND FURNISH POLYESTER CONCRETE AND REPLACE JOINT SEALS.
Location Description: BUTTE, COLUSA, AND GLENN COUNTIES AT VARIOUS LOCATIONS
Contractor Name: AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC
Contractor Address: 2990 Bay Vista Court, Ste D, Benicia, CA 94510
Resident Engineer: Matt Crete Structure Rep.: Adam Scardaci
DIME Sample ID: 2023-10-30-50
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - FFS - Skid Testing
Sample Organization Contact: (916) 227-7287
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 10/30/2023
Date that the sample was received by the laboratory/organization performing the testing: 10/30/2023
The quantity of what the sample constitutes: Skid Testing
A brief description of the sample: Skid Testing
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: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE:
Direction of Travel:
Post Mile:
Lanes to be Tested: Lane #2
Station:
DIME Test ID: 2023-10-30-50-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/03/2023
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.36
|
DIME Test ID: 2023-10-30-50-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/03/2023
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.35
|
DIME Test ID: 2023-10-30-50-3
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/03/2023
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:
Test Result Compliance: complies
Additional Comments When Verified:
|
Pavement or Bridge Deck?
|
Pavement
|
|
Average Coefficient of Friction
|
0.35
|
