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CAG-20-065 - Duvall - A44-Polypropylene Storm Sewer
• • 1A9 . . . . .. JE. . S: . . . . . C J ' 4. . . ' . ' , ' G' y�°bC !V ` l JC-J 4' a ' 1C V ' . _ ' _ ' : ' ) l' o y „co, 'iei�i�`i�iCimair mieivi.v vviv.�iii"i ter 'i��iikiveivvvvvivvli o 1 ` 0' uuuunutitwunuuu.iilIFIMttuuiiini t]rtrP4 niiilniuuuuttttAIIIIiutiuiiiiuuuitiututtutiututtuuutuuintnitinuinuniiiiiiittutt_ Cam: 4 =_ �� UNITEC Corporation • = 46., o' = U11411411110 —ne• ' � 358 Upland Drive • Seattle,Washington 98188 =_ C ' .off = _ 45" .. Ara o' = Trrtitiratt nnpirttirn ., i . . , =_= • = co ,. . _ .. . . _ = = .. .1 :„. . ,-- • . = 45. = ,.., •o' E. This is to certify that G � vj.ez. .,.c�2- scale(s) • _ ;o: I • = Located at .S2Lf31,- /�/ v?err'? /11gt,4 f3 `/S's7 da4�w A = Co o' = was (were) serviced on this ZU day of ,T14�/.wir [ 20 Z'z, by an authorized representative of E C4:; i � = the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. C� "? = A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. _ Co: o :c.) _ = moo:; o' = = CC :o' _ (206) 575-1100 = C4`• ;4 - • = Cam.. �.J . moo....ins.—!AL. i.�..in.eon e1i.i..iAb ion iIlk alr-lik ion 41V116.�A01. . AINFEST Am Test Inc. L A B o R A T o R 1 E s Professional 13600 NE 126TH PL Analytical Suite C Services Kirkland, WA 98034 (425)885-1664 Mar 2 2022 SQUAK MOUNTAIN MATERIALS 10430 RENTON ISSAQUAH RD Attention: DMARYE DEDRICK Dear DMARYE DEDRICK: Enclosed please find the analytical data for your SQUAK project. The following is a cross correlation of client and laboratory identifications for your convenience. CLIENT ID MATRIX AMTEST ID TEST (1)5/8 Soil 22-A002567 MET (2)5/8 Soil 22-A002568 MET (3)5/8 Soil 22-A002569 MET (4)5/8 Soil 22-A002570 MET (5)5/8 Soil 22-A002571 MET (1)1 1/4 Soil 22-A002572 MET (2)1 1/4 Soil 22-A002573 MET (3)1 1/4 Soil 22-A002574 MET (4)1 1/4 Soil 22-A002575 MET (5)1 1/4 Soil 22-A002576 MET Your samples were received on Thursday, February 24, 2022. At the time of receipt, the samples were logged in and properly maintained prior to the subsequent analysis. The analytical procedures used at AmTest are well documented and are typically derived from the protocols of the EPA, USDA, FDA or the Army Corps of Engineers. Following the analytical data you will find the Quality Control (QC) results. Please note that the detection limits that are listed in the body of the report refer to the Practical Quantitation Limits(PQL's), as opposed to the Method Detection Limits(MDL's). If you should have any questions pertaining to the data package, please feel free to contact me. Sincerely, Aaron W. Young Vice President PO Number: NWA12756 BACT = Bacteriological MET = Metals NUT=Nutrients MIN=Minerals CONV= Conventionals ORG = Organics DEM=Demand P.1 Am Test Inc. Professional 13600 NE 126TH PL Snalytical Suite C Services Kirkland, WA 98034(425) 885-1664 LAeopAll/FESTATOo RIES www.amtestlab.corn ANALYSIS REPORT SQUAK MOUNTAIN MATERIALS Date Received: 02/24/22 10430 RENTON ISSAQUAH RD Date Reported: 3/2/22 , WA 98027 Attention: DMARYE DEDRICK Project Name: SQUAK PO Number: NWA12756 All results reported on an as received basis. AMTEST Identification Number 22-A002567 Client Identification (1) 5/8 Sampling Date Total Metals PARAMETER RESULT UNITS Q D.L. METHOD ANALYST DATE Acid Digestion Y SW-846 3050E KF 02/27/22 Lead 9.01 ug/g 1.1 EPA 6010D KF 03/01/22 P.2 SQUAK MOUNTAIN MATERIALS Project Name: SQUAK AmTest ID: 22-A002568 AMTEST Identification Number - 22-A002568 Client Identification (2)5/8 Sampling Date Total Metals PARAMETER RESULT UNITS Q - D.L. METHOD ANALYST DATE Acid Digestion Y SW-846 3050B KF 02/27/22 Lead 8.87 ug/g 1.0 EPA 6010D KF 03/01/22 AMTEST Identification Number 22-A002569 Client Identification (3)5/8 Sampling Date Total Metals PARAMETER' RESULT UNITS Q D:L. METHOD ' ANALYST DATE Acid Digestion Y SW-846 3050E KF 02/27/22 Lead 8.70 ug/g 0.84 EPA 6010D KF 03/01/22 P.3 SQUAK MOUNTAIN MATERIALS Project Name: SQUAK AmTest ID: 22-A002570 AMTEST Identification Number 22-A002570 Client Identification (4)5/8 Sampling Date Total Metals PARAMETER: • RESULT UNITS . Q D.L. METHOD ` „ ANALYST; DATE Acid Digestion Y SW=846 3050E KF 02/27/22 Lead 8.89 ug/g 0.80 EPA 6010D KF 03/01/22 AMTEST Identification Number 22-A002571 Client Identification (5)5/8 Sampling Date Total Metals PARAMETER -RESULT UNITS • Q` D.L. ` , METHOD-. ANALYST DATE Acid Digestion Y SW-846 3050E KF 02/27/22 Lead 10.1 ug/g 1.0 EPA 6010D KF 03/01/22 • P.4 -Y SQUAK MOUNTAIN MATERIALS Project Name: SQUAK AmTest ID: 22-A002572 AMTEST Identification Number 22-A002572 Client Identification (1) 1 1/4 Sampling Date Total Metals PARAMETER " RESULT UNITS Q D.L. , METHOD. ANALYST, "DATE Acid Digestion Y SW-846 3050B KF 02/27/22 Lead 13.6 ug/g 0.55 EPA 6010D KF 03/01/22 AMTEST Identification Number 22-A002573 Client Identification (2) 1 1/4 • Sampling Date Total Metals PARAMETER RESULT UNITS Q D.L. METHOD ANALYST DATE Acid Digestion Y SW-846 3050E KF 02/27/22 Lead 13.9 ug/g 0.85 EPA 6010D KF 03/01/22 P.5 SQUAK MOUNTAIN MATERIALS Project Name: SQUAK AmTest ID: 22-A002574 • AMTEST Identification Number 22-A002574 Client Identification (3) 1 1/4 Sampling Date Total Metals PARAMETER RESULT UNITS . Q, ,D:L. ; METHOD ANALYST DATE Acid Digestion Y SW-846 3050B KF 02/27/22 Lead 15.4 ug/g 1.1 EPA 6010D KF 03/01/22 AMTEST Identification Number 22-A002575 , • Client Identification (4) 1 1/4 Sampling Date Total Metals PARAMETER RESULT UNITS Q .D:L.. . METHOD .. ANALYST DATE Acid Digestion Y SW-846 3050E KF 02/27/22 Lead 15.9 ug/g 0.84 EPA 6010D KF 03/01/22 • P.6 SQUAK MOUNTAIN MATERIALS Project Name: SQUAK AmTest ID: 22-A002576 AMTEST Identification Number 22-A002576 Client Identification (5) 1 1/4 Sampling Date Total Metals PARAMETER RESULT UNITS Q D.L. METHOD ANALYST DATE Acid Digestion Y SW-846 30506 KF 02/27/22 Lead 11.5 ug/g 0.66 EPA 6010D KF 03/01/22 Aar n . Young Vice President P.7 • Am Test Inc. Professional 13600 NE 126th PL Analytical Suite C ABArEST Services Kirkland, WA, 98034 (425) 885-1664 LABOR ATO RIES www.amtestlab.corn QC Summary for sample numbers: 22-A002567 to 22-A002576 DUPLICATES SAMPLE# ANALYTE UNITS SAMPLE VALUE DUP VALUE RPD 22-A002337 Lead ug/g 4.52 4.29 5.2 22-A002576 Lead ug/g 11.5 13.9 19. MATRIX SPIKES SAMPLE# ANALYTE UNITS SAMPLE VALUE SMPL+ SPK SPK AMT RECOVERY 22-A002337 Lead ug/g 4.52 21.2 20.0 83.40 % 22-A002576 Lead ug/g 11.5 37.0 35.0 72.86 % STANDARD REFERENCE MATERIALS ANALYTE UNITS TRUE VALUE MEASURED VALUE RECOVERY Lead ug/g 0.80 0.79 98.8 % BLANKS ANALYTE UNITS RESULT Lead ug/g < 0.02 P.8 I . . . • ,tA 1 EST AmTest Chain of Custody Record 13600 NE 126th PL,Suite C, Kirkland,WA 98034 LABOR ATOIllta Ph(425)885-1664 Fx(425)820-0245 • www.amtestlab.com • r • - Chain of Custody No. i--• - Client Name &Address: Invoice To: ..<....,.; ., .3.-- , -, _,-,71,7/i,-.- , Lq V W.'C.., ; • '1 '••' I( / ; 1 - ' - -.x-f Wi.:j.1.,: it if N.;Lj its , • ". r' • - ,. • ,-, .-:,„) ..) ---., /,,,,,,,' 2,,,) ..,•,,,,:-.i.A,, . . f .„ i (:,, 'c, .,••-, 7 ,. • ;, , ,, ,. .„,.., .,,i., f iy,v., r.:z / , L'i/ - 1 (...1../yezr ;7..:isoei,4 if) .16;1, I<5' 6.'•-/ , Vil.i. .->/:'; r.,‘:71.1 'tel.,/ ;,.:--)t-E• t; (i r,'fr i 1 "- 'i ' -". •-• / i .'•' - 1 Li'" ,, .. • Contact Person: l' 1C i/ r . I Invoice Contact: r, n ai./. , /pPit1 V 61 \ /4f ( /7ic LT\ _ . •• Phone No: '-?,.1 110 1,_ e:7 i 0'--2 PO Number: i; ,;,•':-.! i.-..1 -7,./._. , . i ti ' Zi,.. 4',/ f',Pni I i • /•• 6 Fax No: Invoice Ph/Fax: . . E-mail: -• n r) / "/ ,;(../: • t6,,,;•-••Invoice E-mail: 11/)Jrim y ., ) Q2..:,,..:ivfist. ,r t •-.-.-z-=.1..- '....rt. K j,..co„i ,G. \ •t li itiii1:.-.,,/,'.1.t I i'''."1•; . Report Delivery: (Choose altliat. pply) Data posted to online accoLint: YES / NO • Mail / Fax /CEmall-} / Posted Online Web Login ID: Special Instructions: . • . • . Requested TAT:.,(Rush must be pre-approved by lab) perature Tern upon Receip t: rStandard-2 RUSH ( 5 Day / .3 Day / 48 HR / 24 HR• ) 14. 5 Projea-Nie: _. filV/I•C.. •• •.\•-•ti • {0 Analysis Requested Project Number: a' cu a c a ._ iv E E x I. iv as IS g (f) (I) gt, cu a) 4... • Client ID 4-, la E ° U • AmTest ID 6 (35 characters max) • • a • . . . , • - (Q 2. • . • - • • 77( 5 . -71 _ I -- _ . C.plIcteilj?„elinquished By: Date, Time Received By: Date Time •-• 74/ , 7 ;;,-:-,- / II' /1 J tr • ifr g-LtZZ, 1(15 Relinquished By: Date Time Received By: • • Date Time Relinquished By: Date Time Received By: Date Time COMMENTS: • . . - . P.9 Truck Scale Report & Certification Date Tested: January 14,2022 CO -1,. . NO Company Icon Materials E-mail-- raysscalederek@yahoo.com Name and Asphalt Scale PO Box 8282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on 0 Min Grad: 20 lbs Size 120'x 10' Arrival: Platform: Capacity: 60 ton CLC: 35 ton Scale: Unibridge Make: Rice Lake Serial#: 1514200059 County: King Number of Scale Serial Reg Sections: 12 #: N/A Element: 820i Loaded Test Scale Load Test Scale Postion Weights Indication ERROR Position Weights Indications ERROR As Found Section 10 Test Truck 32,840 0 Section 1 Test Truck 32,880 0 Section 11 Test Truck 32,860 0 Section 2 Test Truck 32,860 0 Section 12 Test Truck 32,880 0 Section 3 Test Truck 32,880 0 Section 4 Test Truck 32,840 0 Section 5 Test Truck 32,880 0 Section 6 Test Truck 32,860 0 Section 7 Test Truck 32,880 0 Section 8 Test Truck 32,840 0 Section 9 Test Truck 32,860 0 Strain Load Test Empty Truck Weight Test Weights Total Error 20,880 12,000 32,880 0 Condition upon Inspection Stands Good Deck Good Indicator Good Cables Good Cell Good Bolts Good Printer N/A J-Boxes Poor Links Fair Guide Rails Good Scoreboard N/A Coping Good Remarks and/or Instructions Scale Technician na d Agent#): Owner/Operator: Derek Larsen 16705 Truck Scale Report & Certification 0 4.12: IDate Tested: January 14,2022 CO 4.1.1k 4 NG Company Icon Materials E-mail... Name and Inbound Scale raysscalederek@yahoo.com PO Box 8282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on Size 0 Min Grad: 20 lbs 80'x 10' Arrival: Platform: Capacity: 60 ton _ CLC: 50 ton Scale: Murphy Make: Rice Lake Serial#: B34429 County: King Number of 6 Scale Serial N/A Reg IQ 710 Sections: #: Element: Loaded Test Scale Load Test Scale Postion Weights Indication ERROR Position Weights Indications ERROR As Found As Left Section 1 Test Truck 33,000 100 Section 1 Test Truck 32,900 0 Section 2 Test Truck 32,880 0 Section 2 Test Truck 32,880 0 Section 3 Test Truck 32,900 0 Section 3 Test Truck 32,920 0 Section 4 Test Truck 32,880 0 Section 4 Test Truck 32,880 0 Section 5 Test Truck 32,900 0 Section 5 Test Truck 32,880 0 Section 6 Test Truck 32,980 80 Section 6 Test Truck 32,900 0 Section 1 Section 1 12,000 12,000 0 Strain Load Test Empty Truck Weight Test Weights Total Error 20,880 12,000 32,880 0 Condition upon Inspection Stands Good Deck Good Indicator Good Cables Good Cell Good Bolts Good Printer N/A 1-Boxes Good Levers Fair Guide Rails Good Scoreboard Good Coping Good Remarks and/or Instructions Scale Technician (Si tur and Agent#): Owner/Operator: ": Derek Larsen _ .>'``--TM 16705 Truck Scale Report & Certification . Date Tested: January 14, 2022 CO I► 4 NG Company Icon Materials E-mailm- raysscatederek@yahoo.com Name and Outbound Scale Po Box 8282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on 0 Min Grad: 20 lbs Size 80'x 11' Arrival: Platform: Capacity: 60 ton CLC: 50 ton Scale: Suvivor Make: Rice Lake Serial#: B34435 County: King Number of 5 Scale Serial 8QEH Reg IQ 710 Sections: #: Element: Loaded Test Scale Load Test Scale Postion Weights Indication ERROR Position Weights Indications ERROR As Found As Left Section 1 Test Truck 32,860 0 Section 1 Test Truck 32,860 0 Section 2 Test Truck 32,880 0 Section 2 Test Truck 32,880 0 Section 3 Test Truck 32,760 -100 Section 3 Test Truck 32,880 0 Section 4 Test Truck 32,880 0 Section 4 Test Truck 32,860 0 Section 5 Test Truck 32,860 0 Section 5 Test Truck 32,880 0 Section 1 Section 1 12,000 12,000 0 Strain Load Test Empty Truck Weight Test Weights Total Error 20,880 12,000 32,880 0 Condition upon Inspection Stands Excellent Deck Excellent Indicator Fair Cables Excellent Cell Excellent Bolts Excellent Printer N/A 1-Boxes Excellent Levers N/A Guide Rails Excellent Scoreboard N/A Coping Excellent Remarks and/or Instructions Scale Technician (Signature and Agent#): Owner/Operator. Derek Larsen # 16705 rvv��/V v v%�/vvv "tali /v�k/v v v v v��/�i �>i tea/��/ice/�I/��/�e/��/ %��i O 41 I _I1IIIIO Ill I11!II I1IIA1i..IIIII Ill i11II1 till 111IIII11i1 11I1i1IIIILLIIIIIlllllliooil_ oIIIIl1I111ZnII1II1IAIII11111I1IIIILilalllll111!1t il it in 1 I i a oiII.1oal O C- . �) UNITEC Cor oration = C.. Ufirlimmemi •o' _ 3.58 Upland Drive • Seattle,Washington 98188 _ Co -0 _ Trrtrt of ,Jrt .erttt _..21_-.1 0 E C _ (� h - o l = This is to certify that/Ya�� l U y/ O �O /al- //vat scale(s) _ ! C.V - ' 6� �J — .<€,- �A- r o' _ Located at: Jn'1�12� ��'�C+�''t ' / i C- 20� , byan authorized representative of = ! C5 ;o) _, was (were) serviced on this 1� day of _ the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. �� _ A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. Cam. 1 13Y: Z— ' ,cc-, 1_, _ 4'. _' _ Cam_ o = . o' (206) 575-1100 45. Q' • 1111)I111111111I T1111IIITTIIIIIiT TItlTal lilltiJliIIITTIIj11i11TTItIIITITiIllfII_T jTl taI lit ii 11a11 TiIIllltll11111Ii f.TT111111T1 ITlllllilrmlll Ili (I 111_ II11 I_j.Tfll ., _ ____ > _ A 41111116 WWashington State V Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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 0 80 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A44-A52 CSTC 518'Natural Sumner Pit B-231 7 04 1 2 ,B6-89 ' A44-A52 , ,a«�, ... pit 7 a A43-A52 Ton s aiiv I f°r Sumner Pit B-231 9-03.19 1, 2 A43-A52 Bank Trench travel for ifIll Sumner Pit B-231 9-03.19 1, 2 A43-A48,Gravel Sackful for B6-B9 Pipe Zone Bedding Sumner Pit B-231 9-03.12(3) 1, 2 A43-A48 Gravel Backfill for B6-B9 Pipe Zone Bedding Sumner Pit B-231 9-03.12(3) 1, 2 Project Engineer/Representative Date State Materials Engineer/Representative Date 1/31/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory'Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. See Remarks 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment', 'WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Provide Scale Cert. Delivery Ticket shall show bid item number and description Remarks (HO): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ❑X Contractor El Region Operations Engineer Fabncation Inspection ❑Region Materials ❑State Materials Lab.MS 47365 Al Stoneway Concrete Technical Services Aggregate Sieve Analysis PROJECT: Internal Testing DATE: 1/26/2022 LOCATION: Sumner Sand & Gravel SAMPLE SOURCE: B-231 SAMPLE DESCRIPTION: 5/8" Crushed Surfacing Top Course Type 1G AGGREGATE SIZE: 5/8" TESTER: Sean SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSING 9-03.9(3) 3/4" 0.0 0 100 J 99 - 100 5/8" 0.0 0 100 1/2" 0.9 8 92 80 - 100 3/8" 2.7 27 73 1/4" 4.7 46 54 #4 5.5 54 46 J 46 - 66 #40 9.0 89 11 J 8 - 24 #200 9.7 96 4 J 0 - 10 PAN 10.1 100 0 WET SAMPLE: 10.6 TOTAL MOISTURE 5.0% DRY SAMPLE 1: 10.1 SE: 64% J FRACTURE: 100% t %Passing No.200 Dust Ratio: %Passing No.40 'The minimum percent passing the No,50 and No,100 sieves may be reduced to 5 and 0,respectively,if the aggregate in to be used in air-entrained concrete containing more than 400 lb of cement per cubic yard or in nonair-entrained concrete containing more than 500 lb of cement per cubic yard(C 33 6,2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing 1'6" 99-100$ 1" 75-100 1i" 50-100 1 9-03.9(3) Crushed Surfacing No.4 20-80 / Base Course Top Course ) No.40 3-24�I Sites Size Percent No.200 10.0 max. 1%" 99-100 Sand Equivalent 35 min. 1" 80-100 %" 99-100 J %" 50.80 9-03.19 Bank Run Gravel for li" l80.100 i ' Trench Backfill No.4 25-45 46-66 4 sieve She Perctnt Pi aing No.40 3-18 8-24 4 221� 75 00 No.200 7.5 max. 10.0 max. No.4 22.100 %Fracture 75 min. 75 min. 'I No.200 0-10 Sand Equivalent 40 min. 40 min. Dust Ratio: Sc max. - Sand Equivalent 30 min. 4 ASTM C 136 ASTM C 33 PROJECT: Internal Testing DATE: 1/26/2022 LOCATION: Sumner Sand & Gravel SAMPLE SOURCE: B-231 SAMPLE DESCRIPTION: 1-1/4" CSBC /Type 2G AGGREGATE SIZE: 1-1/4" TESTER: Sean SPECIFICATION SIEVE WEIGHT PERCENT PERCENT COS9-03.9 SIZE RETAINED RETAINED PASSING Type 2G 1-1/4" 0.0 0 100 / 99 - 100 1" 0.3 3 97 \l 80 - 100 3/4" 1.8 18 82 5/8" 2.7 27 73 50 - 80 1/2" 3.8 38 62 3/8" 4.5 45 55 / #4 6.1 61 39 V 25 - 45 #40 9.4 95 5 J 3 - 18 #200 9.7 98 2 J 0 - 7.5 PAN 9.9 100 0 WET SAMPLE: 10.3 TOTAL MOISTURE: 3.9% DRY SAMPLE: 9.9 S.E.: 64% FRACTURE: 98% %Passing No.200 Dust Ratio: %Passing No.40 'The minimum percent passing the No.50 and No.100 sieves may be reduced to 5 and 0,respectively,it the aggregate is to be used in ar-entrained concrete containing more:han 400 lb of cement per cubic yard or in nonair-entrained concrete contain ny inure than 5C0 lb of cement per cubic yard(C 33 6.2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing 1%" 99 100 Y 1" 75-100 4 9-03.9(3) Crushed Surfacing %" so-took �se Cour�-1 Top Course and Keystone No 4 20-80 No.40 3-24 v Sieve Size Percent Passing 1W" 99-100 No.200 10.0 max. Sand Equivalent 35 min.J 1" 80-100 J %" 99 1OC W. 50-80 J K" 80-100 No.4 25-45 4b_� 9-03.19 Bank Run Gravel for No.40 3-18 B.24 Trench Backfill No.200 7.5 max. 10.0 max. 5iee, g PercePatsing %Fracture 75 min.T 75 min. 2" 75-100 Sand Equivalent 40 min. 4 40 min. _ No.4 22-100 4 , No.200 0-10 Dust Ratio: %max-4 Sand Equivalent 30 min.4 Pag ge added by engineer WSDOT MATERIALS LAB 01/28/2022 Aggregate Source Approval Report Owner: Cava Materials Aggregate Source: PS-B-231 Lessee: Known as: Cava Materials Pit Located in: S 1/2 NW 1/4 Section 16 T2ON R5E County: Pierce Remarks: Mineral Agg.and Surfacing: Test Date: 04/15/2021 Expiration Date: 04/15/2026 Absorption:1.01 Apparent Sp.G.:2.745 Bulk Sp.G.(SSD):2.697 Bulk Sp.G.:2.67 Deg:66 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: 02/01/2018 Expiration Date: 02/01/2023 ASR-14 Day:0.56 ASR-One Year:0.04 CCAAbsorption:1.18 CCA Sp.G:2.681 Deg:70 FCA Absorption:2.04 FCA Organics:1 FCA Sp.G:2.627 LA:12 Remarks: 1-Year ASR Results expire 12/19/2023 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: I � Page added,by engineer Remarks: NOT Approved for: Quarry Spells Riprap Rock for Erosion and Scour Protection Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: 02/01/2018 Expiration Date: 02/01/2023 Absorption:1.18 Apparent Sp.G.:2.735 Bulk Sp.G.(SSD):2.681 Bulk Sp.G.:2.65 Deg:70 LA:12 Remarks: • Currently Approved for: Streambed Aggregate Gravel Borrow for Structural.Earth Walls: Test Date: 02/01/2018 Expiration Date: 02/01/2023 Bulk Sp.G.(SSD):2.681 Deg:70 LA:12 Remarks: For geosynthetic reinforcement,the gravel borrow shall be tested for pH priorto 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) CPage added,by engineer 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 Washington State ♦/ Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 01/28/2022 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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# 081 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL Hdgtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A27 A44-A52 Gravel Borrow Icon Materials-Auburn A-464 7-04 1, 2 , B6-B9 A44-A52 CSTC . B6-69 Icon Materials-Auburn A-464 7-04 1, 2 A44-A52 CSBC Icon Materials-Auburn A-464 7 04 1, 2 B6-B9 Project Engineer/Representative Date State Materials Engineer/Representative Date _� _4- 1/31/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 21. Acceptance Criteria: Acceptance based upon"Satisfactory'Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. See Remarks 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved 0 Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment', 'WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Provide Scale Cert. Delivery Ticket shall show bid item number and description Gravel Borrow may be used for Gravel Borrow and Bank Run Gravel for Trench Backfill Remarks (HO): CSTC may be used for CSTC, Bank Run Gravel for Trench Backfill and Gravel Backfill for Pipe Zone Bedding CSBC may be used for Bank Run Gravel for Trench Backfill and Gravel Backfill for Pipe Zone Bedding DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ®Contractor 0 Region Operations Engineer El Fabncation Inspection El Region Materials El State Materials Lab-MS 47365 ICON Summary Report Sample Information Sample No 1264637438 too: 7_ . . Product Id 2380 Product Name Gravel Borrow Specification WSDOT 9-03.14.1 Gravel Borrow "- Date Sampled 01/07/2022 09:00 n-. Sampled By Skye Southward 00- Sample Type InvestigativeI : / Sample Method Surge Pile 9 "' 00- Notes 30:2022 Submittal (B) 30• f0- a-... I . . i. ....• I . -r. ..r I r i . . 1 .1'1 .F, 4..% 0. 0. .• 510,00e,m0i901 0,04E3>0,8 090.066 060 142 060 3.10 015.085.002 Cu.109,Cc.0.79 Gradation Results Quality Results Date Tested Tested By Skye Southward Sieve %Passing Tolerances Test Result Unit Tolerances 4"(100mm) 100 99-100 FM 3.88 AASHTO T27/T11 3"(75mm) 100 SE 62 % 250 AASHTO T176 2"(50mm) 100 75-100 -#200(75um) 6.7 1"(25mm) 98 Grad Loss 0.0 % 3/4"(19mm) 94 Wash Loss(#200/75um) 4.5 % 1/2"(12.5mm) 88 3/8"(9.5mm) 82 #4(4.75mm) 71 50-80 9-03.12(3) Gravel Backfill for #10(2mm) 57 Pipe Zone Bedding #40(.425mm) 25 0-30 Slew Slim t tPa ssing 1%" 99-100 #100(.15mm) 9 %Passing No.200 1" 75-100 #200(75pm) 6.7 0-7 Dust Ratio: %Passing No.40 W. Cr-100.) No.4 20-80 No.40 3-24 X No.200 10.0 max. Sand Equivalent 35 min. 9-03.14(1) Gravel Borrow Sieve Site Percent 9-03.19 Bank Run Gravel for 4" 99-100 Trench Backfill 2" 75-100 r' 1'"'.�_"�" '..'�'". . No.4 SO-80 �/ �� 75-100 No.40 30 max.J No.4 22-100 No.200 0-10 No.200 7.0 max.f Dust Ratio: "�� Sand Equivalent 50 min. • Sand Equivalent 30 min. StonemontQC 01/10/2022 CRH Americas Materials(AMAT) ICON Summary Report Sample Information Sample No 303028092 IO0+ ♦ • Product Id 2350 Product Name 5/8"CS TC B°; Specification 9-03.9(3)Crushed Surfacing TC B°- Date Sampled 01/08/2022 10:00 �- Sampled By Randy Mattson so- Sample Type Investigative w- Sample Method Surge Pile ' - tO- Notes 3D- Submittal 20227 to- it- °`.• i • t .i • 1••.• i • i • 4, t 6 A a 3 " =.. 6. S.Cit1k''.• a Sevr0o..no 1m"i woes.on cx 106060312 WO an 0+6A650W Cu 2123 cc 1W Gradation Results Quality Results Date Tested Tested By Randy Mattson Sieve %Passing Tolerances Test Result Unit Tolerances 1 1/2"(37.5mm) 100 SE 66 % 240 AASHTO T176 1"(25mm) 100 Fractured Faces(>1) 95.0 % 275 AASHTO T-335 3/4"(19mm) 100 99-100 Unfractured Faces(>1) 5.0 % AASHTO T-335 5/8"(16mm) 99 -#200(75um) 4.2 % 1/2"(12.5mm) 94 80-100 Grad Loss 0.0 % 3/8"(9.5mm) 82 Wash Loss(#200/75um) 3.6 % 1/4"(6.3mm) 67 #200/#40 0.25 #4(4.75mm) so as 66 9-03.12(3) Gravel Backfill for #s(2.36mm) 44 Pipe Zone Bedding um #16(1.18mm) 32 � Potentt� #30(.6mm) 21 1h" 99.100 %Passing No.200 1' 75-100 J #40(.425mm) 17 8-24 Dust Ratio: %Passing No.40 - $i" 50-100 #50(.3mm) 12 No.4 20-80/ , #100(.15mm) 6 No.40 3-24 #200(75pm) 4.2 0-10 No.200 30.Omax.� 9-03.9(3) Crushed Surfacing Sand Equivalent 35 mina Bose Course ( Top Course Keystone Sieve She Permit 1%" 99-100 1" 80-100 9-03.19 Bank Run Gravel for " 99-100/ Trench Backfill %%" 50.80 �,II %" 80-100�J 2- 7s-too No.4 25-45 46-66 J No.4 22.100 No.40 3-18 8-24 / No.200 0-10 VI No.200 7.5 max. 10.0 max.J Dust Ratio: %max. ,/ Sand Equivalent 30 min. %Fracture 75 min. 75 min. Sand Equivalent 40 ruin. 40 min. J _._.._-.-_---� V Vy` _.............___Materials(AMAT) ICON Summary Report Sample Information Sample No 655576787 Product Id 2379 �-. Product Name 1 1/4"CS BC '"- Specification 9-03.9(3)Crushed Surfacing BC 80- Date Sampled 01/04/2022 11:05 70- Sampled By James Begley 5. Sample Type Process Control I so: Sample Method Surge Pile - b- Notes 30- 2022 Submittal ;0- 5 ° .,. t ,...... i i. ...T l it i i • 11 a a 3 4.a tr.n.'. .5 a S«"Oom,nama i1D.ESi 049 030 214 050 758 060 1050 CIS^.85 D C5 Cu 2'54 Cc 157 Gradation Results Quality Results Date Tested Tested By James Begley Sieve %Passing Tolerances Test Result Unit Tolerances 2 1/2"(63mm) 100 SE 73 % 240 AASHTO T176 2"(50mm) 100 Fractured Faces(>1) 98.0 % 275 AASHTO T-335 1 1/4"(31.5mm) 100 99-100 Questionable Faces(>1) 4.1 % AASHTO T-335 1"(25mm) 96 80-100 -#200(75um) 2.0 3/4"(19mm) 86 Grad Loss 0.0 % 5/8"(16mm) 77 50-80 Wash Loss(#200/75um) 1.3 % 1/2"(12.5mm) 66 #200/#40 0.23 3/8"(9.5mm) 56 9-03.12(3) Gravel Backfill for Pipe Zone Bedding #4(4.75mm) 37 25-45 #10(2mm) 25 Sieve She Percent Passing 1%" 99.100 r #40(.425mm) 9 3-18 %Passing No.200 1" 75-100 #100(.15mm) 3 Dust Ratio: %Passing No.40 %" 50-100 #200(75pm) 2.0 0-7.5 No.4 20.8011 No.40 3-24 r No. 9-03.9(3) Crushed Surfacin! 200 10.0 35min. r Sand Equivalent 35 min, r 4;0 Top Course and Keystone More Mae Passim 1%" 99-100 1" 80-100 r 9-03.19 Bank Run Gravel for %" 99-100 Trench Backfill %" so-so r SIT& %" r 80-100 2" 7s�i0o No.4 25-45 46-66 r No.4 22.100rr No.40 3-18 / 8-24 No.200 0-10 No.200 7.5 max. V 10.0 max. Dust Ratio: %max. r %Fracture 75 min.tr 75 min. Sand Equivalent 30 min. r Sand Equivalent 40 min. r 40 min. StonemontQC 01/08/2022 CRH Americas Materials(AMAT) Aggregate Source Approval Report. https://wvw.wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A&pi... WSDOT MATERIALS LAB 01/31/2022 • Aggregate Source Approval Report Owner: La Planta Limited Partnership Aggregate Source: PS-A-464i 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: MlneralAgg.and,Surfadng: 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 IA 14 Remarks: Currently approved as a source of aggregate for: ATB Ballast BST Crushed Cover Stone BST Crushed Screenings JCrushed 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 CCA Absorption:1.24 CCA Sp.G:2.68 Deg:72 FCAAbsorption:2.18 FCAOrganics:3 - FCASp.G:2.624 LA:11 Remarks: Current;l 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,R6dc 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: 1 of 2 1/31/2022,9:43 AM Aggregate Source Approval Report. https://www.wsdot.wa.gov/bizlmats/ASA/ASAReport.cfin?prefix=A&pi... NOT Approved for: Quarry Spats 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 Units 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) 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 2 of 2 1/31/2022,9:43 AM //AM. October 18,2021 ?} Ferguson-Tacoma#3156 ! . 2042 112t St S Tacoma,WA 98444 Re: Advanced Drainage Systems,Inc. Certification of Compliance }pp Dear Mark Horvill, This will certify that the 12", 18", and 24"(300,450,and 600 mm)I.D. smooth interior(N-12) dual wall Type "S"polypropylene pipe and fittings manufactured by Advanced Drainage Systems,Inc. and supplied per the order number listed below comply with the requirements specified in the latest revision of AASHTO M330 Polypropylene.Pipe,300 to 1500mm(12 to 60in)Diameter and ASTM F 2881 Standard Specification for 12 to 60 in. [300 to 1500 mm] Polypropylene(PP)Dual Wall Pipe and Fittings for Non-Pressure Storm Sewer Applications. Warehouse No.:P45 Order No.: 13991991 Ship date: 1/10/2022 Project Name:Duvall Ave NE Contractor Name: Reed Trucking and Excavating Inc. Location: Renton,WA Quantity: 2920' 126500201BPL2 12".HP DWALL STORM.WTIB.SOLID.20' 140' 18650020IBPL2 18".HP DWALL STORM.WTIB.SOLID.20' 80' 246500201BPL2 24".HP DWALL STORM.WTIB.SOLID.20' Sincerely, Rob Nanni Plant Manager g4 r a.% AlMk 171Washington State , Department of Transportation Request for Approval of Material Contract Number FA Number ' SR Date CAG 20-065 N/A DUVALL AVE NE 01/06/2022 Section/Title of Project County DUVALL AVE NE KING Contractor Subcontractor REED TRUCKING&EXCAVATING,INC 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# 029B PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr/QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code B17 ALLTHRD ROD STS INDUSTRIAL Std. Plan- 10 Std.106- • A49-A53 SPEEDCRETE(REDONE EUCLID CHEMICAL Plan 10 310.1 t _ A43-A48, B6-B8, ETHAFOAM SHEETS ULINE S.P.7-04.2 3 B17 and B18 Project Engineer/Representative Date State.Materials Engineer/Representative Date 1/20/2022 Acceptance Action Codes for use by Project Engineer and•State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. Acceptance Criteria: Catalog Cuts for Acceptance'prior to use of material.Catalog Cut Approved ❑X Yes ❑No Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment',WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. . Approval Withheld: Submit samples for preliminary evaluation. Q'pproval Withheld: See Remarks 11. Miscellaneous Acceptance Criteria. Remarks (PE): COR-TEN Steel Tie Rods per COR Std.Plan 310.1 Remarks Mortar for pipe joints and grade rings and.casting for CB - (HQ): Type 1 shall meet requirements of AASHTO M 85,Type] or Type II,per Std. Plan-200.00&WSDOT 9-04.3 Mortar for Manhole Risers shall meet requirements of ASTM C270 Type S,per COR Std Plan-106, DOT Form 350-071 Project Engineer Distribution Revised 03/2021 J Contractor 0 Region Operations Engineer ❑Fabrication Inspection ❑Region Materials 0 State Materials Lab-MS 47365 9✓ - l • 7 • 00 A307 All Thread Rod,Galvanized BID ITEM B17 FOR HYDRANT RUNS - The ASTM A307 specification corers carbon steel bolts and studs ranging from 1/4'through 4'diameter.A307 is an economical low carbon material often manufactured using A36 round bar.Dlmensloeai'specificatlons are governed by ASME B18.31.3.A307 all thread rod is available in hot dip galvanized finish which provides a corrosion resistant zinc coating.The all thread rod listed on this page is domestic,melted and manufactured q*r`, in the USA. _ • :q • • I PRODUCT—Sj GOVERNING STANDARDS MECHANICAL PROPERTIES CHEMICAL PROPERTIES • CI.'y0..411:5'31T1 DA9f75 GRADEA307A SUBMITTAL REVIEW Noe cepeensTaken • - Make Cenoctona Noted • it AS1M Aa07 Coati the rrrechantcat and material requirements for Inch series fasteners in diamelers from - • x Rmecl Ssee Rorn Releaed-sea rtemcel�v 114'through 3',made of Cuban Seel havlug a minimum tensile strength of 60.000 psi IMPORTANT NOTICE:Ibis retires. does nal mllepe the Contodor from responsnalty to comply 6 conform 'QaME618.'at:a - owe*tha geaetrltand CunensMlrai doq t0rin0tr SOWS mresded rods - v COR-1EN eteet Tie Redaper vnth mo ins,Spedncadona,and • • CDR Std.Won-310.1 Comma Documents, .. ASME 01.1 CNC 8 Spaales me threes term.series.class.allowance.tolerance,and designation ror unifier,screw a a• G.dT ftr:OoLoe,.�.L.a .s,+xaaw«wn UHF Class Zl trutaas. Date-utja922 Diameter Thread Pitch } >› A307 All Thread Rod,Galvanized • t j df The Euclid Chemical Company SPEED CRETE RED LINE FD RAPID SETTING REPAIR MATERIAL EUCLID CHEMICAL rn DESCRIPTION r SPEED CRETE RED LINE is a rapid-setting,cement-based concrete and masonry repair mortar.SPEED CRETE O RED LINE is a proprietary formulation of blended portland cements,finely processed selected aggregates, and specific chemical additives that undergo a chemical"hyper hydration"and produces a stable, low permeability, cementitious matrix.SPEED CRETE RED LINE can be"shaved"for detailed repairs. rn PRIMARY APPLICATIONS • Interior and exterior • Vertical and overhead repairs x • Used at no slump consistency • Outstanding repair material for concrete pipe,formed and precast concrete FEATURES/BENEFITS • Initial set in 8 to 20 minutes • High strength • Final set within 30 minutes • Excellent durability • Can be"shaved"to desired shape • Compatible with galvanic anodes TECHNICAL INFORMATION U' The following are typical values obtained under laboratory conditions. Expect reasonable variation under field conditions. Compressive Strength, psi (MPa) ASTM C109 Freeze Thaw Durability Factor ASTM C666 24 Hour 2,550(17.6) 300 Cycles 96.75% 7 Day 4,000(27.6) rn 28 Day 5,700(39.3) Shrinkage 50%RH ASTM C157(3"x3"x11"specimens r— Set Time, ASTM C266 were removed from molds @ 24 hours) Initial 8 20 Min 28 Day -0.069% m Final 15-30 Min Expansion 100% RH ASTM C157(3"x3"x11"specimens Split Tensile Strength,psi (MPa) ASTM C496 were removed from molds @ 24 hours) 7 Day 240 (1.7) 28 Day 0.142% 28 Day 290 (2.0) Flexural Strength, psi (MPa)ASTM C348 Scaling Resistance ASTM C672 7 Day 700 (4.8) 50 Cycles 0%loss 28 Day 918 (6.3) Volumetric Resistivity 5,250 ohm-cm Appearance: Available in 6 shades of gray o v' PACKAGING w oA T SPEED CRETE RED LINE is packaged in 50 lb (22.7 kg) poly-lined bags, and 50 lb (22.7 kg) pails o oA 3 SHELF LIFE 18 months in original, unopened packaging COVERAGE One 50 lb (22.7 kg) bag yields approximately 0.47 ft3(0.013 m3)when mixed with 5.5 qt(5.2 L) water 19215 Redwood Road • Cleveland, OH 44110 www.euclidchemical.com 800-321-7628 t • 216-531-9596 f DIRECTIONS FOR USE Surface Preparation:Concrete surfaces must be structurally sound,free of loose or deteriorated concrete and free of dust,dirt,paint,efflorescence,oil and all other contaminants.Mechanically abrade the surface to achieve a surface profile equal to CSP 6-8 in accordance with ICRI Guideline 310.2. Properly clean profiled area. Priming& Bonding (Saw Cut&Chipped Out Repairs): Thoroughly clean any exposed reinforcing steel, and apply DURALPREP A.C.to the concrete and the reinforcing steel within the repair area. Refer to the DURALPREP A.C. technical data sheet for full instructions. Alternatively, application of a scrub coat of SPEED CRETE RED LINE to the saturated surface dry(SSD) concrete surface may be used for bonding.The repair material must be placed on the scrub coat before the scrub coat dries out. Mixing: SPEED CRETE RED LINE will require approximately 5 to 5.5 qt(4.7 to 5.2 L) of potable water per 50 lb (22.7 kg) bag to achieve the proper mix consistency. Pour the measured amount of water into a clean mixing container, then add the SPEED CRETE RED LINE, and thoroughly mix for no more than 60 seconds to a stiff, no slump, putty-like consistency. Mix small quantities of SPEED CRETE RED LINE in a clean pail with a hand trowel. Use a rotary mixer with rubber tip blades for mixing quantities up to 100 lbs. (45.4 kg). To fill patches 2" (5.1 cm) deep or greater, add clean, pre-dampened,3/8" (0.96 cm) size pea gravel. DO NOT USE LIMESTONE AGGREGATE.The mix ratio must not exceed 40 lbs. (18 kg) of pea gravel to each 50 lb (22.7 kg) bag or pail of SPEED CRETE RED LINE. Mixing procedure:Start mixer,load water,load pea gravel,and then load the SPEED CRETE RED LINE. MIX FOR NO MORE THAN 60 SECONDS. Application: For vertical repairs, place SPEED CRETE RED LINE in 1/8"-2" (3.2mm-50.0 mm) lifts.To ensure a complete bond with the entire surface,force the SPEED CRETE RED LINE firmly into the SSD area by hand or with a trowel. Slightly overfill the repair,and following initial set,shave the material to conform to the contour of the surrounding surface. Always shave SPEED CRETE RED LINE toward the common bonding edge between the repair mortar and the existing surface. Cure material using standard curing practices. Cold Weather Installation: Application at temperatures below 40°F (4°C) extends the set time. Heating the repair area until warm, using warm water for mixing, and tenting/insulating the repair area after application will increase strength development. Do not use direct heat on the repair after it is installed. CLEAN-UP Clean application tools and mixing equipment with water immediately following use. PRECAUTIONS/LIMITATIONS • Keep in covered storage away from all moisture. • Mix no more than 60 seconds. • Use only potable water with SPEED CRETE RED LINE. • Mix to a stiff, putty-like, no slump consistency. Do not add more water than recommended. • Do not apply SPEED CRETE RED LINE as a horizontal topping or as a tile setting mortar. • When necessary,follow the recommendations in ACI 305R "Guide tcj4 Vi(� orl rpt rip ACI 306R "Guide to Cold Weather Concreting". �"�sM A l' Vf>tW • Do not re-temper or add sand to SPEED CRETE RED LINE. No Exceptions Taken • In all cases, consult the Safety Data Sheet before use. Make Corrections Noted Amend & Resubmit —X- Rejected-See Remarks Mortar for pipe joints and grade rings and casting for CB Type 1 shall meet requirements of AASHTO M 85,Type I IMPORTANT NOTICE:This review or Type II, per Std. Plan -200.00 &WSDOT 9-04.3 does not relieve the Contractor from responsibility to comply&conform Mortar for Manhole Risers shall meet requirements of with the Plans, Specifications, and ASTM C270 Type S, per COR Std Plan -106 Contract Documents. 40* Grres.y&Osborine,,Ind. CONSULTING ENGINEERS Rev.03.19 Bv- DRS Date•1/11/2022 WARRANTY 1-Fe Lucid Chemical Company("Euclid I seiely and expressly warrants that As products shall be free from defects,n materials and workmanship for one It I year from the date of purchase.Unless autnanzed m writing by an officer of Euclid no other representations or statements made by Euclid or its representatives.in wr ting or orally,shall alter this warranty.EUCLID MAKES NO WARRANTIES.IMPLIED Oft OTHERWISE. AS TO THE MERCHANTABILITY OR FITNESS FOR ORDINARY OR PARTICULAR PURPOSES OF ITS PRODUCTS AND EXCLUDES THE SAME.If any Eucld product fails to conform with this warranty,Euclid will replace the product at no cost to Buyer.Replacement of any product shall be the sole and exclusive remedy avertable and buyer shalt have rto claim for incidental or consequential damages.Any warranty claim must be made wrthin one tt 1 year from the oate of the caimed breach.Euclid does not authorize anyone on its behalf to make any written or oral statements which in any way after Euclid's installation information or instructions in its product literature or on its packaging labels.Any installation of Euclid products which`ails to conform wit such installation information or instructions shalt void this warranty.Product demonstratrons,f any.are done for illustrative purposes only and do not constitute a warranty or warranty alteration of any kind.Buyer shall be solely responsible for detennrrnng the suitability of Euclid's products for the Buyers intended purposes. ULINE 700 Uline Way Allentown, PA 18106 • PHONE (800)295-5510 • WEB uline.com • FAX(800)295-5571 January 4, 2022 Ferguson Waterworks 2042 112th St S Tacoma, WA 98444 Hello Mark, This is the Specification Sheet for S-12856 -Plank Foam without Adhesive- Non- Perfed, White, 48 x 96 x 2". • Flexible low-density polyethylene foam is highly resilient, shatter proof and tear resistant. • Water, fungi and mold-resistant closed cell foam. • FDA compliant for indirect food contact. • Non-perfed sheets, no adhesive. • Temp Range --78° a +101°C (-110° to +215°F) Please contact our Customer Service Department at 1-800-295-5510 if you have any additional questions. Sincerely, Andrea N. Customer Service Pennsylvania SUBMITTAL REVIEW X No Exceptions Taken Make Corrections Noted Amend & Resubmit Rejected-See Remarks IMPORTANT NOTICE:This review does not relieve the Contractor from responsibility to comply&conform with the Plans, Specifications, and Contract Documents. Gray 8c Osborne,Iraq. CONSULTING ENGINEERS By: DRS Date 1/20/22 CHICAGO •ATLANTA • DALLAS • LOS ANGELES •MINNEAPOLIS • NYC/PHILA • RENO •SEATTLE • MEXICO •CANADA Washington State Department of Transportation Request for Apiproval of Material Contract Number FA Number NSA SR Duvall Ave NE Date CAG 20-065 a1/11/2022 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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# 066 /066A PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/OPL Hdgtr./QPL HQ Use Nc. Product/Type Manufacturer or Pit Number Reference Code Code A27.A32.0+ Sand Equrv.CSBS Squak Mountain 9-03.14(1) Gravel Borrow 2 9-03.21(1)C 10 A32 Gravel Backfill Squak Mountain - Issaquah, WA 9-03.12(2) 10 for Walls 9-03.21(1)C Bank Run 9-03.19 B4.02 Gravel for Squak Mountain -Issaquah, WA 1, 2 g-03.211C Trench Backfill ( ) A43.03.02 Pipe Zone 9-03.12(3) to Bedding Squak Mountain -Issaquah, WA 9-03.21(1)C 1, 2 A48.03.02, B6.04 to B8.04, B9.05 Project Engineer/Representative Date State Materials Engineer/Representative Date 1/13/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 0. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. OAcceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. See Remarks 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment', 'WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10 Approval Withheld: Approval Withheld: not approved for Gravel Borrow or Gravel Backfill for walls 11. Miscellaneous Acceptance Criteria. Remarks Prior to use, provide toxicity testing and certification of (PE): toxicity characteristics in accordance with Section 9-03.21(1). Remarks Provide Scale Cert. and Daily Scaleman's Reports. (HQ): Delivery Ticket shall show bid item number and description. CSBC material can be used for Gravel Backfill for Pipe Zone Bedding (9-03.12(3)) DOT Form 350-071 Project Engineer Distribution Revised 03/2021 Ei Contractor ❑Region Operations Engineer ❑Fabncalion Inspection ❑Region Materials ❑State Matenals Lab-MS 47365 9-03.12(3) Gravel Backfill for Pipe Zone Bedding 9-03.9(1) Ballast(for use as Gravel Borrow) Sieve Size Percent Passing Sieve Size Percent Passlng Di" 99-100 25„ 99.100 r - 2" 65-100 L 1" 75-100 1" 50-85 X %" 50-100 r No.4 26-44 - No.4 20-80 r No.40 16 max. No.40 3-24 r No.200 9.0 max No.200 10.0 max./ - Dust Ratio 5 max. r Sand Equivalent 35 min.J - Sand Equivalent 35 min. r U.S.Standard Sieve Opening in Inches U.S.Standard Sieve Numbers Hydrometer Results 100% 20 • a a Wirt i as 10 is 20 30 40 50 too 200 0% 90% 1 1 - 10% 80% �� 20% i= 70% ♦ 30% �% �� . . 40% Z 1 50% 4 F %• % 50% a is• 40% . . w� 60% O 30 To ♦ •% • , , , . ._ . 70°% a° 20% �:r •• 80% 10/a " �� �"kiigqii‘ 100% 1000 100 10 1 0.1 0.01 0.001 Grain Size in Millimeters Gravels Sands Cobbles Silts ('lays Coarse I Fine Coarse I Medium I Fine _ Date:01/06;22 Du,- 0.19 GSC'SClassification %Gravel %Sand Sample#:20-198 D30= 3.25 GP-GM,Poorly graded Gra 61.8% 31.3% Sample ID:Squak Mtn CSBC D60= 11.87 Specifications Source:Stock Pik Cc=4.57 WSDOT 9-03.9(3)Base Course Project Cu-61.02 Sample Meets Specs %Silt&Clay Location:Squak Mtn Liquid Limit=n/a Yes 6.9% Boring#: Plastic Limit=n(a Fineness Modulus SE 56 Depth: Plasticity Index=n/a 5.46 Coarse Actual Interpolated Fines Actual Interpolated Section Cumulative Cumulative Section Cumulative Cumulative Sieve Size Percent Percent W Specs Specs Sieve Size - Percent Percent . Specs - Specs-- US Metric Passing Passing ' Max Min US Metric Passing Passing Max Min 6.00" 150.00 100.0% #4 4.750 38.2% 38 2% 45.0% 25.0",% 4.00" 100.00 100.0% ' #8 2.360 25.2% 3.00" 75.00 100.0% #10 2.000 23.2% 23.2% 2.50" 63.00 100.0% #16 1.180 19.5% . 2.00" 50.00 100.0% #20 0.850 17.9% 1.75" 45.00 100.0% #30 0.600 16.8% 1.50" 37.50 100.0% #40 0.425 16.0% 16.0% 18.0% 3.0% 1.25" 31.50 100.0% 100.0% 100.0% #50 0.300 12.7% 1.00" 25.00 94.3% 94.3% 100.0% 80.0% #60 0.250 11.4% 7/8" 22.40 88.0% #80 0.180 9.6% 3/4" 19.00 79.9% ; #100 0.150 8.8% 518" 16.00 72.7% 72.7% r 80.0% 50.0% #140 0.106 7.7% 1/2" 12.50 61.9% E #170 0.090 7.3% 3/8" 9.50 52.7% 4200 0.075 6.9% 6.9% 7.5% 0.0% 1/4" 6.30 42.9% #270 0.053 #4 4.75 38.2% 38.2% 45.0% 25.0% Copyright,tipeAr.Engineering&Technical SLrk ice:PS, 1996-21)O5 9-03.14(1) Gravel Borrow 9-03.12(2) Gravel Backfill for Walls 9-03.19 Bank Run Gravel Sieve Size Percent Passir g Sieve Size Percent Passing for Trench Backfill 4„ 99-100 Y _. 4" 99-100 r Sieve Size Percent Pasirmaiii 2" 75-100 r 2" 75-100 1t - 2" 75-100 No 4 22-66 r T No.4 50-80 X No 200 5.0 max X No.4 22-100 IT No.40 30 max. It - No.200 0-10 J %" %Passing No.200 I/ No.200 7.0 max. Dust Ratio: %Passing No.40 %Dust Ratio: max Sand Equivalent 50 train.r Sand Equivalent 60 min. X Sand Equivalent 1 30 min. t/ Washington State V Department of Transportation Request for Approval of Material NSA Contract Number FA Number SR pate CAG 20-065 Duvall Ave NE 12/16/2021 _ Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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.# 059&061 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number . Reference Code Code r435', CSTC Black River Quarry 4-04 • 10 IIA44-52, - ._. _ • • • , . . . • Project Engineer/Representative ,- �� Date State Materials Engineer/Representative Date • -..Z ' • 12/16/2021 Acceptance Action.Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into ' project. 2. Acceptance Criteria: Mfg:Cert.of Compliance for'Acceptance'prior to use of material. 3. .Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No . 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication Of material. 5. .Acceptance.Criteria: Only'Approved.for Shipment'.'WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. • 8. Source Approved: 9. Approval Withheld: Submit samples far preliminary evaluation. Approval Withheld:to; Per ASA Report, source not approved for CSTC Miscellaneous Acceptance Criteria. Remarks (PE): Remarks • . (HQ): • • DOT Form 350-071 Project Engineer Distribution. Revised 03/2021 0 Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials 0 Slate Materials Lab-MS 47365 • WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling, Black River Aggregate Source:CS-A-S1D Lessee: Known as: Kangley Rock&Recycling, Black River Located in: T23N, RANGE4E, SECTION14 Section 14 T23N R4E County: King Remarks: Tier 1 & 2 Recycled Concrete Aggregates (RCA). Acceptance is based on Toxicity Test Report & Certification of Toxicity Characteristics per 9-03.21(1) & Field Testing for Grading, Sand Equivalency and/or Dust Ratio per 3-04 &9-03.See QPL for further info. Mineral Agg.and Surfacing: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA Remarks: • NOT approved as an aggregate source for: T ast 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 Aggregates for Concrete: Test Date: Expiration Date: ASR-14 Day: ASR-One Year: CCAAbsorption: CCA Sp.G: Deg: FCA Absorption: FCA Organics: FCA Sp.G: LA: Remarks: NOT approved for: • Coarse Concrete Aggregates Fine Concrete Aggregates Riprap,Quarry Spells,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: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA Remarks: NOT Approved for: Streambed Aggregate Streambed Aggregate Gravel Borrow for Structural Earth Walls: Test Date: :Expiration Date: Bulk Sp.G.(SSD): Deg: LA: NOT Approved for: • Gravel Borrow for Str Earth Walls ALL OTHER PIT RUN MATERIALS: Project Engineer may request preliminary samples but Aggregate Source Approval is riot 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 Drywalls 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) 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 PROJECT: Internal Testing DATE: 12/9/2021 LOCATION:-Black-River-Quarry SAMPLE SOURCE:A-516 SAMPLE DESCRIPTION: RCA 5/8"Crushed Surfacing Top Course (Type 1G) AGGREGATE SIZE: 5/8" TESTER: Sean SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSING COS 9-03.9 3/4" 0.0 0 100 100 1/2" 0.3 3 98 80 - 100 3/8" 1.1 11 89 #4 3.5 35 65 46 - 66 #40 8.5 85 15 8 - 24 #200 9.9 99 2 0 - 10 PAN 10,0 100 0 WET SAMPLE: 10.4 TOTAL MOISTURE: 3.8% DRY SAMPLE: 10.0 S.E.: 62% FM: 1.20 FRACTURE % 95% DUST RATIO: 10% 'The minimum percent passing the No.50 and No.100 sieves may be reduced to 6 and 0,respectively.if the aggrogate is to be used in air-entrained concrete containing more than 400 lb of cement per cubic yard or in nonair-entrained concrete containing more than 500 lb of cement per cubic yard(C 33 6.2) r � Washington State �// Department of Transportation Request for Approval of Material Contract Number FA Number NSA SR Duvall Ave NE Date CAG 20-065 Section/Title ofProject Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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# 060 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A35 CSTC Kangley Rock & Recycling 4-04 1, 2, A44-52, 1175, B6-B9 ASA _ Project Engineer/Representative -- r Date State Materials Engineer/Representative Date '=- -1--'--" 12/20/2021 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 0 Acceptance Criteria: Acceptance based upon"Satisfactory°Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert of Compliance for'Acceptance'prior to use of material. See Remarks: . Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes 0 No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE); Prior to use, provide toxicity testing and certification of toxicity characteristics in accordance with Section 9-03.21(1). Remarks Provide Scale Cert. and Daily Scaleman's Reports. Delivery Ticket shall show bid item number and description. DOT Form 350-071 Project Engineer Distribution Revised 03/2021 (t.4 Contractor 0 Region Operations Engineer 0 Fabrication Inspection ID Region Materials 0 State Materials Lab-MS 47365 PROJECT: Internal Testing DATE: 12/9/2021 LOCATION: Black River Quarry SAMPLE SOURCE: A-516 SAMPLE DESCRIPTION: RCA 5/8" Crushed Surfacing Top Course (Type 1G) AGGREGATE SIZE: 5/8" TESTER: Sean SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSINC7 COS 9-03.9 3/4" 0.0 0 100 4 100 1/2" 0.3 3 98 NI 80 - 100 3/8" 1.1 11 _ 89 #4 3.5 35 65 J 46 - 66 #40 8.5 85 15 4 8 - 24 #200 9.9 99 ' 2 J 0 - 10 PAN 10.0 100 0 WET SAMPLE: 10:4 -- -TOTALNtO1STURE: ___3.-8% DRY SAMPLE: 10.0 S.E.: 62% `I FM: 1.20 FRACTURE % 95% DUST RATIO: 10% 'The minimum percent passing the No.50 and No.100 sieves may be reduced to 5 and 0.respectively,if the aggregate is to he used in air-entrained concrete containing more than 400 lb of cement per cubic yard or in nonair'entrained concrete containing more than 500 ib of cement per cubic yard(C 33 6.2) WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling, Black River Aggregate Source:4M Lessee: Known as: Kangley Rock&Recycling, Black River Located in: T23N, RANGE4E,SECTION14 Section 14 T23N R4E County: King Remarks: Tier 1 & 2 Recycled Concrete Aggregates (RCA). Acceptance is based on Toxicity Test Report & Certification of Toxicity Characteristics per 9-03.21(1) & Field Testing for Grading, Sand Equivalency and/or Dust Ratio per 3-04 &9-03.See QPL for further info. Mineral Agg.and Surfacing: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: Remarks: NOT approved as an aggregate source 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 Aggregates for Concrete: Test Date: Expiration Date: ASR-14 Day: ASR-One Year: CCA Absorption: CCA Sp.G:. Deg: FCA Absorption: FCA Organics:. FCA Sp.G: LA: Remarks: NOT approved for: Coarse Concrete Aggregates Fine Concrete Aggregates 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 Spalis Riprap Rock for Erosion and Scour Protection Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: Remarks: NOT Approved for: Streambed Aggregate Streambed Aggregate Gravel Borrow for Structural Earth Walls: Test Date: Expiration Date: Bulk Sp.G:(SSD): Deg: LA: -- NOT 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 Drywalls 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) 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 WSDOT-Materials Laboratory tatps://www.wsaot.wa.gownwinatstyruyrLt-rownro.crm:rroauct_n... , Washington State vat" Department of Transportation Qualified Product List Product Information Manufacturer :. Kangley Rock & Recycling, Black River, Renton WA Product Name : Tier 1 and Tier 2 - Recycled Concrete Aggregate (RS- A-516) Standard Spec : 9-03.21(1)C, Recycled Concrete Aggregate Product Description : Tier 1 and Tier 2 - Recycled Concrete Aggregate is approved for the following aggregate materials; 9-03.1(4) Coarse Aggregate for Commercial Concrete (Class 3000), 9-03.10 Aggregate for Gravel Base, 9-03.12(1)B Gravel Backfill for Foundations Class B, 9-03.12(2) Gravel Backfill for Walls,. 9-03.12(3) Gravel Backfill for Pipe Zone Bedding, 9-03.14(1) Gravel Borrow, 9-03.14(2) Select Borrow, 9-03.14(2) Select Borrow (greater than 3 feet below subgrade and side slope), 9-03.14(3) Common Borrow, 9-03.14(3) Common Borrow (greater than 3 feet below subgrade and side slope), 9-03.17 Foundation Material Class A and Class B, 9-03.18 Foundation Materials Class C, and 9-03.19 Bank Run Gravel for Trench Backfill. ********** For Tier 2 only - 9-03.9 Ballast and Crushed Surfacing; 9-03.12(1)A Gravel Backfill for Foundations Class A. See ASA for additional information. Product Restriction Need to provide toxicity testing and certification of toxicity characteristics in accordance with Section 9-03.21(1). Acceptance Code : 1175 Code Description : Acceptance is based on Toxicity Test Report and Certification of Toxicity Characteristics in accordance with Section 9-03.21(1) and Field Testing for Grading, Sand Equivalency and/or Dust Ratio in accordance with Sections 3-04 and 9-03. Last Updated : Sep 25, 2018 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 1 of 1 12/20/2021,8:53 AM AlInk 11170 Washington State Department of Transportation Request for Approval- of Material Contract Number FA Number NSA •SR Duvall Ave NE Date CAG 20-065 _ Section 1 Title of Project• Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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# 065 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr/QPL HQ Use No. ProductiType Manufacturer or Pit Number Reference . Code Code A356C 60 ''4S2' Tier 29-03.21(1)C- 10 CSTC Squak Mountain A43.03.02 Bank•Run Gravel for Trench Backfill 9-03.19 . • -A52.03.02 Tier 1 Squak Mountain-Issaquah 9-03.21(1)C. 1,2 B6-B9 - Tier 1 Gravel Backfill for Pipe Zone Bedding 9-03.12(3) ��2 Squak Mountain-Issaquah 9-03.21(1)C . • j • • • • • • Project Engineer/Representative Date Engineer/Representative Date . 1/3/2022 Acceptance Action Codes for use by Project Engineer and State•Materials:Laboratory OAcceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. OAcceptance Criteria: Mfg.Cert of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria:.Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved .❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. • • 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: Reclamation facility must be on the QPL as a Tier 2 facility,per WSDOT 9-03.21(1)C. 11. Miscellaneous Acceptance Criteria. • See below QPL pages,Squak Mnt out of Issaquah is not Remarks currently an approved facility. (PE): Remarks Remarks: . • (HQ): Prior to use, provide toxicity testing and certification of toxicity characteristics in accordance with Section 9-03.21(1). Provide Scale Cert. and Daily Scaleman's Reports. • Delivery Ticket shall show bid item number and description. DOT Form 350-071 Project Engineer Distribution Revised 03/2021 O Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materials Lab-MS 47365 WSDOT-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLProductsGrid:ctin T State V// oo �t of liraruiportation Qualified Products List Standard Specification: 9-03.21(1)C Product Name I Spec Title _ I Manufacturer _ _ Tier 1 and Tier 2 - Recycled I Recycled Concrete Central Pre-Mix (An Oldcastle Infrastructure Concrete Aggregate (RS-C-343) I Aggregate I Company), Spokane Valley-WA Tier 1 and Tier 3 - Recycled I Recycled Concrete Tucci and Sons, Lakewood-WA Concrete Aggregate (RS-B-352) j Aggregate _ _ _ Tier 1 and Tier 2 - Recycled 1 Recycled Concrete Kangley Rock & Recycling, Black River, Concrete Aggregate (RS-A-516) ;Aggregate I Renton-WA Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-F-211) Aggregate (Cowden Gravel & Ready Mix, Bellingham-WAS Tier 1 - Recycled Concrete 1'Recycled Concrete American Rock Products, Richland-WA Aggregate (RS-R-189) ILggregate _I _ __________ _____ _ Tier 1 - Recycled Concrete 1 Recycled Concrete A_re ate RS-FN-121 re ate American Rock Products, Pasco-WA 1 99 9 ( — — Agg g- 1 Tier 1 - Recycled Concrete I Recycled Concrete American Rock Products, Walla Walla-WA I Aggregate (RS-O-146) I Aggregate Tier 1 and Tier 3 - Recycled I Recycled Concrete Pro-Recycle, LLC, Spokane Valley-WA 1 I Concrete Aggregate (RS-C-345) I Aggregate___ __ . _. 1 Tier 1 - Recycled Concrete I Recycled Concrete Holroyd Green Products Plant, Tacoma-WA 'Aggregate (RS-B-351) I Aggregate Tier 1 - Recycled Concrete I Recycled Concrete Renton Concrete Recyclers, Renton-WA Aggregate (RS=A-519) i Aggregate 1 Aggregate Tier 1 - Recycled Concrete Recycled Concrete Blake Sand &Gravel, Sequim-WA • ! : ggregate (RS-Q-241) ;Tier 1 - Recycled Concrete I Recycled Concrete Dickson Company, Tacoma-WA Aggregate CRS-B-350)) -- ,i Aggregate-- -- _— -- --- - ----- ---- ---1 Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-D-359) i Aggregate Lenz Enterprises, Inc., Stanwood-WA Tier 1 - Recycled Concrete I Recycled Concrete Corliss Resources, Inc., Puyallup-WA Aggregate (RS-B-349) I Aggregate Tier 1 - Recycled Concrete I Recycled Concrete:Aggregate _ i;Corliss Resources, Inc., Enumclaw-WA ',A^ re ate (RS A-518) ___Tier 1 - Recycled Concrete i Recycled Concrete 1 Action Materials, Inc., Spokane-WA Aggregate (RS-C-344) i Aggregate Tier 1 and Tier 3 - Recycled Recycled Concrete ' j ;Fruhling Sand &Topsoil, Bothell-WA Concrete Aggregate (RS-D-360)_;Aggregate , _ _ _ _ I--- 1 Tier 1 - Recycled Concrete ' Recycled Concrete 1 Aggregate (RS-OR-90) — Aggregate I.V. Riley, Bingden-WAIi • Tier 1 and Tier 2 - Recycled I Recycled Concrete Stampede Sand &Gravel LLC, Easton-WA • Concrete Aggregate (RS-S-312) ;Aggregate I • Tier 1 and Tier 3 - Recycled Recycled Concrete Miles Resources - Lakeview, Lakewood-WA Concrete Aggregate (RS-B-353) !Aggregate ; Tier 1 and Tier 3 - Recycled I Recycled Concrete j Reece Construction Company, Arlington-WA Concrete Aggregate (RS-D-361) _ Aggregate _ — 1 of 2 12/29/2021,8:45 AIV ,WSDQT-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/bizlmats/c11-'L/WLrroductsuina.ctm Tier 1 and Tier 3 - Recycled Recycled Concrete I Girard Resources & Recycling LLC, Concrete Aggregate (RS-A-517) Aggregate i Covington-WA Tier 1 and Tier 3 - Recycled Recycled Concrete Girard Resources &Recycling LLC, Concrete Aggregate (RS-D-358) Aggregate_ Snohomish-WA Tier 1 and Tier 2 - Recycled Recycled Concrete Interstate Concrete & Asphalt, Elk-WA Concrete Aggregate (RS-C-346) Aggregate Tier 1 - Recycled Concrete I Recycled Concrete Black Lake Resources Littlerock-WA Aggregate (RS-3-217) l Aggregate ' Tier 1 - Recycled Concrete j Recycled Concrete Black Lake Resources, Grand Mound-WA Aggregate (RS-J-216) Aggregate _ Tier 1 - Recycled Concrete Recycled Concrete Kitsap Reclamation & Materials, Bremerton- Aggregate (RS-I-118) Aggregate 1 WA I Copyright WSDOT© 2016 2 of 2 12/29/2021,8:45 AM s. ALLIANCE Alliance Testing Services PO Box 2377 ris TESTING Renton,WA 980 56 425-757-0762 SERVICES Plant 1-Alliance Testing Services Product 68-Squak Mountain CSTC Name/Title Mike Costello/Manager Period: 01/01/2019-04/09/2019 Report Date 04/09/2019 Procedure Sieve/Test Result Unit 9-03.9.3 Crushed Surfacing TC AASHTO Ti 1/27 3/4"(19mm) 100.0 °k 100-100 1/2"(12.5mm) 89.4 °k 80-100 #4(4.75mm) 49.7 °k 46-66 #40(0.425mm) 13.3 °k 8-24 #200(75um) 7.60 °k 0-10 AASHTOT176 SE 53 >40 AASHTO T335 Fractured Faces(>1) 86 >75 9-03.12(3)Gravel Backfill for Pipe Zone Bedding 9-03.19 Bank Run Gravel for Trench Backfill Sieve Size Percent Passing _ ___ Di" 99-100✓ Sieve Size Pew• . , _ 1" 75-100 1 ' 5F" 50-100 J No.4 22-100 No.4 20 80 // No.200 0-10 11 No.40 3-24 Dust Ratio: %max.J No.200 10.0 maxi Sand Equivalent 30 min. Sand Equivalent 35 min. StonemontQC ;ate Washington State •/ Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 8/31/21 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor 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# 020 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr,/QPL HQ Use No. _ Product/Type Manufacturer or Pit Number Reference Cade Code A44 Sanitie ADS, Inc. 7-04 2210 eject En)neer/Rel entative Date e State Materials EngineeriRepresentative Date 74 A.tie',tance tion Codes for use b Project Engineer and State Materials Laboratory 1. A, eptan : Crite• . Acceptance based upon'Satisfactory"Test Report for samples of materials to be incorporated into project. 0 Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment',WSDOT Inspected'or'Fabrication Approved Decal'material shall 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. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10.Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ®Contractor 0 Region Operations Engineer 0 Fabrication Inspection 0 Region Materials ❑State Materials Lab-MS 47365 BID ITEM A44, A45, A46 ADS,Inc.Drainage Handbook Specifications • 1-16 ADS SANITITE® HP 12"- 60" PIPE SPECIFICATION Scope This specification describes 12-through 60-inch (300 to 1500 mm)ADS SaniTite HP pipe for use in gravity- flow sanitary sewer applications. Pipe Requirements ADS 12"-30" (300 to 750mm)SaniTite HP dual wall pipe shall have a smooth interior and annular exterior corrugations; 30"-60" (750 to 1500mm)SaniTite HP triple wall pipe shall.have a smooth interior and exterior surfaces with annular inner corrugations. • 12-through 30-inch (300 to 750 mm) dual wall pipe shall meet ASTM F2764 V • 30-through 60-inch (750 to 1500 mm)triple wall pipe shall meet ASTM F2764 • 12-through 60-inch (300 to 1500 mm) pipe shall have a minimum pipe stiffness of 46 pii when tested in accordance with ASTM D2412. • Manning's"n"value for use in design shall be 0.012. Joint Performance Pipe shall be joined using a bell and spigot joint meeting the requirements of ASTM F2764. The joint shall be watertight according to the requirements of ASTM D3212,with the addition of a 15 psi pressure requirement. Gaskets shall meet the requirements of ASTM F477. Gaskets shall be installed by the pipe manufacturer and covered with a removable, protective wrap to ensure the gaskets are free from debris. A joint lubricant available from the manufacturer shall be used on the gasket and bell during assembly. 12-through 60-inch (300 to 1500 mm) diameters shall have a reinforced bell with a polymer composite band installed by the manufacturer. Fittings Fittings shall conform to ASTM F2764. Bell and spigot connections shall utilize a welded or integral bell and valley or inline gaskets meeting the watertight joint.performance requirements of ASTM D3212. Field Pipe and Joint Performance To assure watertightness, field performance verification may be accomplished by testing in accordance with ASTM F1417 or ASTM F2487. Appropriate safety precautions must be used when field-testing any pipe material. Contact the manufacturer for recommended leakage rates. Material Properties Polypropylene compound for pipe and fitting production shall be an impact modified copolymer meeting the material requirements of ASTM F2764. Installation Installation shall be in accordance with ASTM D2321 and ADS recommended installation guidelines,with the exception that minimum cover in traffic areas for 12-through 48-inch (300 to 1200 mm)diameters shall be one foot(0.3 m)and for 60-inch (1500mm)diameter the minimum cover shall be 2-ft(0.6m) in single run applications. Backfill for minimum cover situations shall consist of Class 1'(compacted)or Class 2 (minimum 90% SPD) material. Maximum fill heights depend on embedment material and compaction level; please refer to Technical Note 2.05. Contact your local ADS representative or visit our website at www.ads-pipe.com for a copy of the latest instal ation guidelines. I, Pipe Dimensions �/ �/ W Nominal Pipe I.D. 12 15 18' 21 24 30 36 42 48 60 in (mm) (300) (375) _ (450). (535) (600); (750) (900) (1050) (1200) (1500) Average Pipe I.D. 12.1; 14.9 18.0' 21.1 24 30.1 35.7 41.8 47.3 59.3 in(mm) (307)'' (378) (457), (536) (612y (765) (907) _ (1062) (1201) (1506) Average Pipe O.D. 14.5 17.6 21_2, 24.8 28:0, 35.5 41.5 47.4 54.1 67.1 in(mm) (368) (447) (538); (629) (711)I (902) (1054) (1199) (1374) (1705) *OD values listed above are NOT for manhole connector sizing.See ADS Standard Detail 205A-F for the recommended manhole connector based on product and diameter. ©ADS,Inc.,January 2019 WSDOT - Materials Laboratory Page 1 of 1 Ask �W'jj��' waahington state Engineer's Addition Department of Transportation Qualified Product List Product Information Manufacturer : ADS/Hancor, Inc., Washougal - WA Product Name : SaniTite HP Standard Spec : 9-05.24(2), Pipe - Polypropylene Sanitary Sewer Pipe Product Description : Polypropylene sanitary sewer pipe Product Restriction : ADS/Hancor product SaniTite HP is also known as Hancor product SaniTite HP Acceptance Code : 2210 Code Description : Acceptance is by field verification of an acceptable Manufacturer's Certificate of Compliance per WSDOT Standard Specification 1-06.3 and the lot(s) or batch(es) of material being certified, where applicable, shall be identified. This documentation is required with each delivery of material to the project. Supporting mill test reports indicating that the product meets the applicable specifications may also be required. Last Updated : Oct 29, 2012 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT c 2016 https://www.wsdot.wa.gov/biz/mats/QPL/QPLProdinfo.cfm?Product_no=2011001&product... 9/8/2021