Project Information

Project ID: 994454 DEA: 010M7304 EFIS: 0123000063 QA Service Level: 1

DIST-CO-RTE-PM: 01-HUM-211-77.2/78.59999999999999

Work Description: Fernbridge Earthquake Restoration (Bridge No. 04-0134)

Location Description:

Contractor Name: Myers and Sons Construction

Contractor Address: 4600 NORTHGATE BLVD, STE 100, Sacramento, CA 95834

Resident Engineer: Tai-Aqua Morgan-Marbet Structure Rep.: Ryan Duran

Sample Information

DIME Sample ID: 2024-02-21-4

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: 02/21/2024

Date that the sample was received by the laboratory/organization performing the testing: 02/21/2024

The quantity of what the sample constitutes: PCC

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

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

Test 1 of 2

DIME Test ID: 2024-02-21-4-1

Test Method: CTM 342-August 2012: Method of Test for Surface Skid Resistance with the California Portable Skid Tester (Skid)

Verified Date: 02/25/2024

Date Tested: 02/24/2024

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: FERNBRIDGE SLAB

Test Result Compliance: complies

Additional Comments When Verified:

Pavement or Bridge Deck?	Bridge Deck
Average Coefficient of Friction	0.41

Test 2 of 2

DIME Test ID: 2024-02-21-4-2