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Sample Record for 2023-11-08-20

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

Project Information

Project ID: 993312 DEA: 030J7004 EFIS: 0320000004 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-32-30.8/31.0
Work Description: CONSTRUCT RETAINING WALL, CULVERT AND PLACE HMA.
Location Description: BUTTE COUNTY NEAR FOREST RANCH FROM 1.3 MILES SOUTH TO 1.1 MILES SOUTH OF CARPENTER RIDGE ROAD
Contractor Name: Steelhead Constructors, Inc
Contractor Address: 2490 Innsbruck Dr, Redding, CA 96003
Resident Engineer: Daniel Rechs Structure Rep.: Adam Scardaci

Sample Information

DIME Sample ID: 2023-11-08-20
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: 11/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 11/08/2023
The quantity of what the sample constitutes: BRIDGE
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: BRIDGE

Material Information

Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE:
Direction of Travel:
Post Mile:
Lanes to be Tested:
Station:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-11-08-20-1
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/08/2023
Date Tested: 11/08/2023
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: BUTTE 32 SOLDIER/BR#12E007
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.42

Test 2 of 2

DIME Test ID: 2023-11-08-20-2
Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)
Verified Date: 11/08/2023
Date Tested: 11/08/2023
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: BUTTE 32 SOLDIER/BR#12E007
Test Result Compliance: complies
Additional Comments When Verified:
Pavement or Bridge Deck? Bridge Deck
Average Coefficient of Friction 0.42