Project Information

Project ID: 994605 DEA: 101N5104 EFIS: 1021000203 QA Service Level: 1

DIST-CO-RTE-PM: 10-SJ-5-R23.9

Work Description: REPLACE JOINT SEALS AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE.

Location Description: SAN JOAQUIN COUNTY IN STOCKTON AT WALKER SLOUGH BRIDGE

Contractor Name: MYERS & SONS CONSTRUCTION, LLC

Contractor Address: 45 Morrison Ave, Sacramento, CA 95838

Resident Engineer: Tofael Anwar Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2024-04-23-3

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: 04/23/2024

Date that the sample was received by the laboratory/organization performing the testing: 04/23/2024

The quantity of what the sample constitutes: POLYESTER

A brief description of the sample: polyester

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: Polyester 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: 2024-04-23-3-1

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

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

Data has not been verified.

Test 2 of 2

DIME Test ID: 2024-04-23-3-2