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HomeMy WebLinkAboutCAG-20-065 - Duvall - A37-HMA CL. 1/2 IN. PG 64-22 ICON MATERIALS A CRH Company March 3rd, 2022 Attn: To Whom It May Concern Reference: HMA CL. '/2" PG 58H-22—MD200031 Subject: Certification of Material Source Dear Mr. Looker, ICON Materials certifies that the materials and sources for the HMA Cl. '/2" PG58H-22 (MD 200031) are the same as stated on the WSDOT mix design. Thank You, ICON Materials DJ McSweyn Asphalt and Aggregate Sales Representative Grading&Paving Site Development Heavy Civil Construction Aggregates&Hot Mix Asphalt ICON Materials 1508 Valentine Ave. SE, Pacific,WA 98047 Phone 206.575.3200 Fax 206.575.3207 ICONM**982CF—An Equal Opportunity Employer WSDOT-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLMixDesignGrid.cfm Ink Washington State Department of 1h ui portation Qualified Products List HMA Paving Contractor: ICON Materials Product Name : Hot Mix Asphalt Standard Spec : 5-04 Hot Mix Asphalt Description : The HMA Mix Designs listed have been evaluated and approved by the WSDOT State Materials Laboratory. Components of the Mix Design must be approved prior to submitting for the evaluation of the Mix Design. A`Contract Specific' Reference Mix Design is required for all Statistical HMA to be placed. The request is to be processed through the MATS Program. Contact the State Materials Laboratory Bituminous Materials Engineer — 360-709-5424 with further questions. Acceptance Criteria is still required for the HMA Mix, Asphalt Binder, Mineral Aggregate and Recycled Materials. Acceptance Code : 2521 Code Description : Receipt of a `Contract Specific' Reference Mix Design Evaluation Report from the State Materials Laboratory Bituminous Materials Engineer is required for all Statistical evaluations indicating the material meets the requirements of the specifications under which it is listed. The Qualified Products List Approved HMA Mix Design page and the`Contract Specific' Reference HMA Mix Design must be received prior to incorporating the material into the project. The Contractor is required to highlight the intended Approved Mix Design Number when submitting the QPL page for HMA to be incorporated. Hot Mix Asphalt, Asphalt Aggregate and Asphalt Binder shall meet the requirements of WSDOT Specifications Sections 5-04, 9-02 and 9-03. Refer to WSDOT Standard Specifications Section 9-03.21 and Contract documents to see if recycled materials are permitted and documentation requirements. The Project Engineer Office is required to verify material being delivered to the job site is from the sources listed on the'Contract Specific' Reference HMA Mix Design. Product Restrictions: Statistical Mix Designs need to be Referenced - Contact Bituminous Materials Engineer - 360-709-5424 Note 1 : The Project Engineer is required to retain Approval Documents. Note 2 : Aggregate Sources, Anti-Stripping quantity and Ant-Stripping brand are identified on Mix Design. Product Description : HMA Spec Gyration Aggregate j Mix Design PG Bender PGAB Expiration Class Year Level Source No Remarks Grade Supplier Date HMA Class 2020 100 A464 MD200019 PG58V-22 US OIL 05/29/2022 1 of 2 1/26/2022, 1:00 PM WSDOT-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLMixDesignGrid.cfm I /2 Class 2020 100 A464 MD200031r 1 PG58H-22 US OIL 08/06/2022 HMA Class 2018 100 A464 1 MD210014 PG58H-22 US OIL 04/14/2023 3/8" HMA Class A464 2018 100 MD210015 PG58V-22 US OIL 04/15/2023 3/8" -03/23/2021 * High RAP Design Commercial: Hot Mix Asphalt 5-04.2(1)B Product Description: All HMA mix designs listed on the QPL may be used for Commercial HMA without a 'Contract Specific' Reference Mix Design. Product Description : HMA. Spec Gyration Aggregate Mix Design PG. PGAB Expiration Class Year Level Source No Binder Supplier Date Grade HMA Class 75 A-464 HMA2020012 58H_22 US OIL 03/18/2022 11/2" Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 2 of 2 1/26/2022, 1:00 PM .®► Washington State �',� Department of Transportation Request for Ada rat of Material Contract Number FA Number SR Date n GAG 20-065 N/A Duvall Ave NE Section/T1tie•ofProject County - f Duvall Ave NE King • contractor Reed Trucking & Excavating, Inc. Subcontractor 1,1t,Ca2zPi . This form shall be completed prior to submittal.If this form is not compete at time of submittal it may For WSDOT Use Only be returned for information that was omitted. RAM# 013 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEARL tfdgtrlaPL HQ Use No. Pmductrryps Manufacturer or Pit Number Reference Code Code i ! r M��iix""DD�esian MD200031 1, 1 1,, • 3 " l I/� �a� �� 4 -oj y 2535 fit M • • P ject Eng neer/Rep entative Dal State Materials Engineer/Representative Date Ac ;lance A•tlon Codes for use by Project-Engineer and State Materials Laboratory 0 pta ce Cotten-- cceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated'into project. Or Acceptance Criteria: Mfg:Cart of Compliance for'Acceptance'prior to use of material:.'See rernarks; 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use.of material Catalog Cut Approved ❑Yes O.No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved far Shipment','WSDOT Inspected'or'Fabrication Approved Decal'matertaiishali be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. B. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. f0.Approval Withheld: 0,Miscellaneous Acceptance Criteria. Remarks (PE): Provide Bill of Lading for Asphalt Binder and Tack Coat. Provide Scale Cert, Provide a letter certifying that the materials and sources for the mix are the Remarks same as shown on the original mix design, per Special Provision 5-04.2(2). (HQ): Truck Ticket shall show Mix ID 200031 For the proposed RAP in the HMA mix, provide Toxicity Test Report and Certifi • - cation per Std. Spec. 9-03.21(1) dated no older than 90 days.The above require- ment is not needed if the RAP is from City of Renton's roadways. DOT Form 350-071 Project Engineer Distribution Revised 03/2021 Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ©State Metedata Lab-MS 47305 Allik IlWWagbington Department� + HMA Mix Design Submittal Contract Information Contract Number State Route Section Date 711R0 Project HMA Paving Contractor Sutsrritted By ICON Materials Tim Shearer HMA Class Gyration Levels HMA Evaluaian Method ESALs(millions ❑%Inch El Vi Inch N Initial: 8 N Design: 100 N Max: 160 CI edified❑Commercial 3.0<30 IA y4 tnsh 0 1 Inch Nan Stotistiral RAP to be used in ptodircmi / RAP stockpile tonnage RAS to be used in production RAS stockpile tonnage Ri Yes n No 20% or less v (l Yes ®No 0% Asphalt Binder Information fdagetAsPhEit Binder Supplier Asphalt Binder Specific Gravity(Gb) Asphalt Binder Grade Proposed Pb US Oil&Refining 1.033 PG581122 V 5.3 NAxing Temperature Range Temperature Range Anti-Strip Type *Anti-Strip% 306-318F 286-295F NONE N/A ANIIIIIMAentlett Binder SuPcgier Asphalt Binder Specific Gravity(Gb) Asphalt Binder Grade Proposed Pb Mxing Temperature Range Compaction Temperature Range Anti-Strip Type 'And-Strip% 'If Required by Contract Contractor Aggregate Structure and Aggregate Test Data In the table below provide the`Material"identification(314"-0,#4-0,etc.),'Source"(J-199,E-320,etc.),'Ratio" (45%,20%,etc.),and the percent passing each sieve for each stockpile used in the mix design as well as the combined gradation and the specification requirements for the class of HMA used.Report all stockpile gradations to the nearest tenth of a percent Report the combined gradation to the nearest whole percent except the U.S.No.200,which must be reported to the nearest tenth of a percent. ned Material 518"-3/8" 3/8"-0 114"-0 D chips Wash Fines Comb Gradcationation Specification Requirements Source A-464 A-464 A-464 A-464 A.464 Ratio 20 53 15 7 5 1 W'Square 1'Square 3 "Square 100.0 100.0 100.0 100.0 100.0 100 100 16"Square 77.0 100.0 100.0 100.0 100.0 95 90.100 3 "Square 27.0 98.0 100.0 94.0 100.0 84 90 MAX. U.S. No.4 2.0 65.0 •97.0 7.0 98.0 55 U.S.No.8 2.0 40.0 65.0 2.0 84.0 36 28-58 U.S.No. 16 1.0 25.0 40.0 2.0 69.0 23 U.S.No.30 1.0 18.0 27.0 2.0 52.0 17 U.S.No.50 1.0 12.0 18:0 2.0 22.0 11 __ U.S. No. 100 1.0 9.0 ~14.0 2.0 4.0 7 U.S.No.200 1.0 6.3 10.5 1.4 0.5 52 .2.7 DOT Form 350-042 Page 1 of Revised 10/2016 r Contractor's Aggregate Test Data L In the table below provide all of the aggregate specific gravity and aggregate quality property test data determined for each stockpile and the selected design aggregate structure(Combined Gradation)as required. The specification requirements only apply to the design ag re ate structure (Combined Gradation). Material 5/8"-3/8" 13/8"-0 1/4"-0 D chips wash fines Combined Gradation Source A-464 A-464 A-464 A-464 A-464 Ratio 20 53 15 7 5 Gsb Coarse 2.703 2.689 N/A 2.689 N/A _ Gsb Fine N/A 2.591 2.541 NIA 2.553 Gsb Blend 2.703 2.625 2.541 2.689 2.553 12.628 Sand Equiv. N/A 62 78 N/A 74 168 45 Min.Uncompacted N/A 48.7 48.3 N/A 42.1 48.0 Void Content 3m ESAIs,44 Minimum Coarse Fracture 87 98 N/A i 92 -:N/A 92 90%Minimum #Fractured Faces,❑Single D. Double (Must Check One) Contractor's Hamburg Wheel-Track Device(HWTD)and Indirect Tensile Strength (IDT)Test Data(If Required by Contract) In the table below provide the rut depth(mm)and Stripping Inflection Point(Pass/Fail)in accordance with WSDOT FOP for AASHTOT 324,and Indirect Tensile Strength (psi)by performing WSDOT FOP for ASTM D 6931. 1 Primary Asphalt Binder 1 Secondary Asphalt Specification Proposal Binder Proposal Requirements Hamburg Wheel-Track Testing(mm) f 2.94 10 mm or less Stripping Inflection Point _ lass Pass Indirect Tensile Strength Test(psi) 110 Remarks DOT Form 350-042 Page 2 of 4 Revised 10/2016 Additional Information for High RAP andlor RAS HMA Mix Designs (If Applicable) In the tables below,provide the required information for HMA mix designs containing>20%Recycled Asphalt Pavement(RAP)andlor any amount of Recycled Asphalt Shingles(RAS).Testing shall be performed in accordance with AASHTO R 29 to establish a true grade for each asphalt component and the final blend.HMA mix designs that contain higher levels of RAP andlor any amount of RAS will not be accepted for verification testing at the State Materials Laboratory without the information completed below. Warm Mix Asphalt(WMA)mix designs will not be accepted with>%20 RAP andlor any amount of RAS. Primary Asphalt Supplier Grade of Virgin Asphalt Binder(PGAB) Pb Virgin Asphalt Binder(PGAB)by Wt of Mix Pb of RAP Recycling Agent %Recycling Agent by WL of Binder Pb of RAS %Asphalt Binder Contributed from RAP by Wt. %Asphalt Binder Contributed from RAS by Wt. %Total Quantity Asphalt Binder of Mix of Mx Contributed from RAP&RAS by Wt.of Mix (40%)max Pba RAP Gb RAP Gmm RAP _ Pba RAS Gb RAS ___Gngn RAS Property Virgin PGAB Virgin PGAB RAP RAS`Lab Blend Lab Blend Test Temp Test data Tc _ Tc Test Data ,Specification Original High Temp,DSR, kPA min 1.00 Rolling Thin Film Oven High Temp,DSR,KPA min 2.20 _ Pressure Aging Vessel ia 100°C Int.Temp, max 5000 DSR,kPA _.___ ._ Pressure Aging Vessel @ 100°C Low Temp, max 300 BBR,Stiffness,MPa Pressure Aging Vessel©100°C Low Temp, min 0.300 BBR,m-value,MPa _ - _ Secondary Asphalt Supplier Grade of Virgin Asphalt Binder(PGAB) Pb Virgin Asphalt Binder(PGAB)by Wt of Mix Pb of RAP Recycling Agent —�Y %Recycling Agent by Wt.of Binder Pb of RAS %Asphalt Binder Contributed from RAP by Wt. %Asphalt Binder Contributed from RAS by Wt. %Total Quantity Asphalt Binder of Mix of Mix Contributed from RAP&RAS by Wt.of Mix (40%)max Pba RAP Gb RAP Gmm RAP ' l Pba RAS _ Gb RAS Gmm RAS 1 Property Virgin PGAB Virgins PGAB RAP RAS Lab Blend Lab Blend Test Temp Test data Tc Tc , Test Data -Specification Original High Temp, DSR,kPA min 1.00 _ Rolling Thin Film Oven High Temp, DSR,KPA_ T_ min 2.20 Pressure Aging Vessel @ 100°C Int.Temp, max 5000 DSR,.kPA — . Pressure Aging Vessel @ 100°C Low Temp, max 300 BBR,Stiffness,MPa _ ___--_ Pressure Aging Vessel @ 100°C Low Temp, min 0.300 BBR,m-value,MPa - _ DOT Form 350-042 Pane 3 of 4 Revised 10/2018 Contractor's HMA Mix Design Data In the table below provide the HMA volumetric mix design data determined by performing WSDOT SOP 732.The Va,VMA,VFA,and Gmb values must be determined from replicate mixtures compacted to the appropriate Ndesign gyration level in accordance to section 8.2 of SOP 732,pack calculated values from replicate mixtures compacted to Nmax are not acceptable, Primary Asphalt Binder Secondary Asphalt Binder HMA Properties -0.5% Pb Design +0.5% -0.5% Pb Design +0.5% Pb Design Pb Design Pb Design Pb Design Pb 4.8 53 5.8 _____ %Gmm tit Nini 84.7 86.4 87.8 96 Gmm air Ndes(Va) 94.2 96.0 97.6 %VMA t Ndes 14.5 14.0 13.6 %VFA©Ndes 60.0 71.5 82A Dust!Ashpalt Ratio 1.364 r1.20] 1.081 Pbe 3.813 4.331 4.810 Gmm 2.505 2.486 2.469 Gmb -2.360 2.386 2.409 Gse 2.699 2.698 r 2.700 Height @ Nini 130.2 127.5 125.9 Height©Ndes 117.1 114.7 1133 4Contractor's HMA Mix Design Proposals) In the table below provide the HMA volumetric mix design data that comes closest to,or intersects,4.0%Va, from the testing performed via WSDOT SOP 732.This may be the same as the Pb design data from the table above.Also provide the%Gmm data developed from the replicate mixtures compacted to appropriate Nmax gyration level. HMA Properties Primary Asphalt Secondary Asphalt Specification Binder Proposal Binder Proposal Requirements Pb 5.3 %Gmm @ Nini 86.4 %Gmm© Ndes 96.0 96.0 %VMA @ Ndes 14.0 %VFA @ Ndes 71.5 Dust/Asphalt Ratio 1.201 - 0.6- 1.6 Pbe 4.331 v _ Gmm 2.486 Gmb 2.386 Gse 2.698 % @ Gmm(fp Nmax 97.1 s98.0 I certify this HMA job-mix formula(JMF)has been developed in accordance to WSDOT Standard Operating Procedure (SOP)732°Volumetric Design for Hot-Mix Asphalt(HMA)°.The HMA JMF has been verified in accordance to section 10 of SOP 732 which consist of preparing replicate mixtures containing the selected design aggregate structure at each of the following binder contents:(1)the estimated design binder content,Pb(design);(2)0.5 percent below Pb(design); (3)0.5 percent above Pb(design). I am aware,in accordance to WSDOT Standard Practice QC 8,Approval of Hot Mix Asphalt Mix Designs for the Qualified Products List,that a response will be provided within 25 calendar days for WSDOT mix designs, and 40 calendar days for contracts outside pf WSDOT. Chris Pedersen -CTL --_ 253-383-8778 7/1/20 Printed Name Signature Phone Date DOT Form 350-042 Page 4 of 4 Revised 1012016 .., 0.45 Power Chart Icon 2020 0.5 Inch HMA 100 gyr US Oil 58H-22.xlsx I , crj•— / 1 . ..-- ---- • 90.0 1 I A/ i 80.0 E 1 / 1 / / 4-1._ 70.0 -I i 1 / 4 1 ..........Max Density Line 60.0 _ .".47 i 50.0 --et —JMF ----- 1 40.0 ----,- — I i E i 1 I . 30.0 I i #02 20.0 oe 1 , i I 100 1 i I er I . . i 0.0 A' e 0 a Lo co , U YE I A ft c-Zi 1- 1 A t T U.S.OIL&REFINING January 23, 2020 ' Temperature - Viscosity Chart i _. N O t�J1 d T O + �1 +++ T O A O A p O 0 n a n n n n n n n n n n n 9 420 cSt _•,c __. _.4— . t - ♦ —+— f r —s- 400cSt _1—} _ _. 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T • T 71 T T T -n -n T -n T T 71 T -T1 T T 11 T T 11 71 T T T Log of Absolute Temperature, Shown in F Specific Gravity = 1.033 at 60 F Washington State Department of Transportation-Materials Laboratory PO Box 47365 Olympia WA 98504/1655 S. 2nd Ave.Tumwater WA 98512 BITUMINOUS MATERIALS SECTION MIX DESIGN REPORT MATERIAL: HMA Class 1/2"-9-03.8-2020 ,/ QPL NO: HMA 2020-044 DATE SAMPLED: 07/07/2020 SAMPLE ID: 0000012817f DATE RECV'D: 07/13/2020 MIX ID NO: MD200031 ESAL RANGE: 3 to<30 J CONTRACTOR: ICON Materials NOTE:Verify approval status on WSDOT QPL list.Reference Mix Design required prior to WSDOT use. APPROVED FOR QPL ON4 /06/2020 -- -- --------CONTRACTOR'S MIX DESIGN TEST r'TA--------Specification Pb 4.8 5.3 5.8 %Gmm @ Ninitial 8 84.7 86.4 87.8 <89.0 Va @ Ndesign 100 5.8 4.0 2.4 Approximate 4.0 %VMA @ Ndesign 100 14.5 14.0 13.6 >14.0 %VFA @ Ndesign 100 60 72 82 65-75 %Gmm @ Nmax 160 97.1 <98.0 Dust to Asphalt Ratio(D/A) 1.4 1.2 1.1 0.6- 1.6 Pbc 3.8 4.3 4.8 Gmm 2.505 2.486 2.469 Gmb 2.360 2.386 2.409 Gb 1.033 1.033 1.033 Gse 2.699 2.698 2.700 Hamburg Wheel-Test(mm) 2.9 _<10.0 Stripping Inflection Point Pass i one @ 15000 Passes Indirect Tensile Strength(psi) 110 . 175 - -------------------STATE MATERIALS LABORATORY TEST DATA- -- S,.ecification Tolerance Pb 4.8 5.3 5.8 %Gmm @ Ninitial 8 84.2 85.8 86.7 <_ 9.0 %Va @ Ndesign 100 6.2 4.3 3.1 Approximate 4.0 2.5-5.5 %VMA @ Ndesign 100 14.8 14.3 14.2 >1,.0 >13.0 %VFA @ Ndesign 100 58 71 78 65-75 %Gmm @ Nmax 160 97.3 <98 0 Dust to Asphalt Ratio(D/A) 1.4 1.2 1.1 0.6- .6 Pbe 3.8 4.4 4.8 Gmm 2.515 2.491 2.478 Gmb 2.359 2.385 2.401 Gb 1.033 1.033 1.033 Gse 2.711 2.704 2.712 Hamburg Wheel-Test(mm) 3.1 <-10.0 Stripping inflection Point Pass None @ 15000 Passes Indirect Tensile Strength(psi) 114 <175 - -- -STATE MATERIALS LABORATORY RECOMMENDATIONS----- -------- Asphalt Binder Supplier US OJLJ Asphalt Binder Grade PG58H- 2 J Percent Binder(Pb)(By Wt.Total Mix) 5.3 %Anti-Strip(By Wt.of Asphalt Binder)/Type 0.004 Sample Wt.(grams) 4750 (Informatio : Only) Ignition Calibration Factor 0.87 (Information.1 Only) Optimum Mixing Temperature(°F) 312 Compaction Temperature(°F) 291 %RAP Binder %RAS Binder For verified mix designs older than 12 months, provide a letter certifying that the materials and sources are the same as shown on the original mix design, per Page 1 of2 Special Provision 5-04.2(2). 4 , Washington State Department of Transportation-Materials Laboratory PO Box 47365 Olympia WA 98504/1655 S.2nd Ave.Tumwater/WA 98512 BITUMINOUS MATERIALS SECTION MIX DESIGN REPORT MATERIAL: HMA Class 1/2"-9-03.8-2020 QPL NO: HMA 2020-044 SAMPLE ID: 00000128I7f MIX ID NO: MD20003 I CONTRACTOR'S DESIGN AGGREGATE STRUCTURE AND AGGREGATE TEST DATA Material: 5/8"-3/ " D Chip, 3/S"-0 1/4"-0 Wash Fines Combined Spec Tolerance Source: A4644 A4644 A464 J A464 J A464 J Ratio: 20.0% 7.0% 53.0% 15.0% 5.0% 3/4 in 100.0 100.0 100.0 100.0 100.0 100 99-100 99-100 1/2 in 77.0 100.0 100.0 100.0 100.0 95 90-100 90-100 • 3/8 in 27.0 94.0 98.0 100.0 100.0 84 90 Max 78-90 No.4 2,0 7.0 65.0 97.0 98.0 55 50-60 No.8 2.0 2.0 40.0 65.0 84.0 36 28-58 32-40 No.16 1.0 2.0 25.0 40.0 69.0 23 No.30 1.0 2.0 18.0 27.0 52.0 17 No.50 1.0 2.0 12.0 18.0 22.0 11 No.100 1.0 2.0 9.0 14.0 4.0 7 No.200 1.0 1.4 6.3 10.5 0.5 5.2 2.0-7.0 3.2-7.0 Gsb Coarse 2.703 2.689 2.689 Gsb Fine 2.591 2.541 2.553 Gsb Blend 2.703 2.689 2.625 2.541 2.553 2.628 Sand Equivalent(SE) •62 78 74 68 45 Min %Uncompacted Voids 49 48 42 48 44 Min %Fracture 87 92 98 92 90 Min Double Face Fracture ------STATE MATERIALS LABORATORY AGGREGATE TEST DATA -------Gsb Coarse 2.726 2.660 2.681 Gsb Fine 2.590 2.575 2.570 2.584 Gsb Blend 2.726 2.660 2.621 2.575 2.570 2.634 Sand Equivalent(SE) 68 79 83 72 45 Min %Uncumpacted Voids 47 44 Min %Fracture 96 97 97 97 90 Min Double Face Fracture COMMENTS Remarks: Result Code: Kurt R.Williams,P.E. Billing Code State Materials Engineer T198-1 Steven J.Davis Bituminous Materials Engineer Date: 8/6/2020 Phone: (360)709-5424 Page 2 of 2 `s0REFIN/". U. S. OIL &REFINING CO. fit° * * „ (6. 3001 Marshall Ave. a-,, J , ., ., : ,0 Tacoma,WA. 98421 2 %.4, wnse CERTIFICATE OF COMPLIANCE Type of Emulsion: CSS-1 Specific Gravity: 1.014 Date: 12/9/2020 Specification Test on Original MIN. MAX. TK2003 Blend Number 20-E-22 Viscosity, SSF,@25°C(77°F),D-244 20 100 22.0 Storage Stability, day%,D-6930 1 0.7 Particle Charge,D-244 Positive Positive Sieve Test, %,D-6933 0.1 0.03 Distillation Residue,%,D-6997 57 62.6 Cement Mixing test, %,D-6935 2.0 0.1 Tests on Residue Penetration, @25°C(77°F),D-5 100 250 147 Ductility,@25°C(77°F),D-113 40 >120 Solubility in Trichloroethylene,%,D-2042. 97.5 99.8 Ash,Weight% 1.0 0.06 The shipment of asphaltic material identified above and covered by this Bill of Lading complies with American Association of State Highway Transportation Officials (AASHTO) Specifications for CSS-1 as modified by special provisions applicable to this project. This meets or exceeds Washington State Department of Transportation Specifications for this product listed under Cationic Emulsified Asphalt. Paulina Kome U. S. Oil &Refining Co. LABORATORY Date: 12/9/2020 r , Washington State • war Department of Transportation Qualified Product List Product Information Manufacturer : U.S. Oil & Refining Co., Tacoma - WA Product Name : Grade CMS-2, CMS-2h, CRS-1, CRS-2(ESS-1)CSS-1h Standard Spec : 9-02.1(6), Asphalt - Cationic Emulsified Asphalt Product Description : Cationic emulsified asphalt. (APPROVAL WILL EXPIRE 11/1/2023) Product Restriction : Acceptance Code : 2535 Code Description : Bituminous materials may be accepted by the Engineer based on the asphalt binder supplier's Certification of Compliance incorporated in their Bill of Lading. The Certification will include a statement certifying specification compliance for the product shipped. Additionally, verification samples are required to be taken in accordance with table 9-3.7 of the Construction Manual. Verification samples are not required for bituminous materials used for fog seal. Samples will be appropriately marked and forwarded promptly to the State Materials Laboratory. Last Updated : Oct 19, 2020 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 Washington State war Department of Transportation Qualified Product List Product Information Manufacturer : U.S. Oil & Refining Co., Tacoma - WA Product Name : PG: 52S-28, 58S-28 8H-22, 58V-22, 64S-28, 64H- 28 Standard Spec : 9-02.1(4), Asphalt - Performance Graded (PG) Asphalt Binder Product Description : Performance graded asphalt binders (APPROVAL WILL EXPIRE 11/1/2023) Product Restriction : Acceptance Code : 2535 Code Description : Bituminous materials may be accepted by the Engineer based on the asphalt binder supplier's Certification of Compliance incorporated in their Bill of Lading. The Certification will include a statement certifying specification compliance for the product shipped. Additionally, verification samples are required to be taken in accordance with table 9-3.7 of the Construction Manual. Verification samples are not required for bituminous materials used for fog seal. Samplcs will be appropriately Note 1 : Check Approved Mix Design for Anti-stripping requirements. Last Updated : Oct 19, 2020 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 ., a V • � 4 WSDOT MATERIALS LAB 08/25/2021 Aggregate Source Approval Report Owner: La Pianta Limited Partnership Aggregate Source: PS-A-464 Lessee: Icon Materials, Inc. Known as: Auburn Pit Located in: SW1/4 SW1/4 SEC 28&29 Section 28,29,T21N R5E County: King Remarks: Mineral Agg.and Surfacing: Test Date: 10/17/2018 Expiration Date: 10/17/2023 Absorption:1.26 - Apparent Sp.G.:2.744 Bulk Sp.G.(SSD):2.686 Bulk Sp.G.:2.652 Deg:57 LA:14 Remarks: Currently approved as a source of aggregate for: ATB Ballast BST Crushed Cover Stone BST Crushed Screenings Crushed Surfacing Base Course Crushed Surfacing Key Stone Crushed Surfacing Top Course Gravel Backfill for Foundation Class A HMA Other Courses HMA Wearing Course Maintenance Rock Permeable Ballast Acceptance tests need to be performed as necessary. Aggregates for Concrete: Test Date: 10/24/2018 Expiration Date: 10/24/2023 ASR-14 Day: ASR-One Year:0.037 CCAAbsorption:1.24 CCA Sp.G:2.68 Deg:72 FCA Absorption:2.18 FCA Organics:3 FCA Sp.G:2.624 LA:11 Remarks: Current 1 Year ASR(ASTM C1293) results: 0.037%. Results expire on 12/9/2025 Currently approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Acceptance tests need to be performed as necessary Acceptance tests need to be performed as necessary Riprap,Quarry Spalls,Rock for Rock Wall, Erosion and Scour Protection: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: Remarks: NOT Approved for: Quarry Spalls Riprap Rock for Erosion and Scour Protection Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: 10/24/2018 Expiration Date: 10/24/2023 Absorption: 1.24 Apparent Sp.G.:2.736 Bulk Sp.G.(SSD):2.68 Bulk Sp.G.:2.647 Deg:72 LA:11 Remarks: Currently Approved for: Streambed Aggregate Gravel Borrow for Structural Earth Walls: Test Date: 10/24/2018 Expiration Date: 10/24/2023 Bulk Sp.G.(SSD):2.68 Deg:72 LA:11 Remarks: For geosynthetic reinforcement,the gravel borrow shall be tested for pH prior to placement. For metallic reinforcement,the gravel borrow shall be tested for pH, resistivity,chlorides, and sulfates prior to placement. If the resistivity of the backfill material equals or exceeds 5,000 ohm-cm,the specified chloride and sulfate limits may be waived. If the aggregate source has variable quality,additional testing may be required. Contact the Regional Materials Engineer or the State Geotechnical Engineer for direction. Currently Approved for: Gravel Borrow for Str Earth Walls ALL OTHER PIT RUN MATERIALS: Project Engineer may request preliminary samples but Aggregate Source Approval is not required. AGGREGATE MATERIALS NOT REQUIRING ASA APPROVAL: Aggregate for Gravel Base 9-03.10 Gravel Backfill for Foundation Class B 9-03.12(1)B Gravel Backfill for Walls 9-03.12(2) Gravel Backfill for Pipe Zone Bedding 9-03.12(3) Gravel Backfill for Drains 9-03.12(4) Gravel Backfill for Drywells 9-03.12(5) Backfill for Sand Drains 9-03.13 Sand Drainage Blanket 9-03.13(1) Gravel Borrow 9-03.14(1) Select Borrow 9-03.14(2) P J •— Common Borrow 9-03.14(3) Native Material for Trench Backfill 9-03.15 Foundation Material Class A and B 9-03.17 Foundation Material Class C 9-03.18 Bank Run Gravel for Trench Backfill 9-03.19 Commercial Concrete Aggregate 6-02.3(2)B