Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
CAG-20-065 - Duvall - A45 - Polypropylene Storm Sewer
r Washington State �/ Department of Transportation Request for Apiproval 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 0 081 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 B6-B9 1, 2 A44-A52 B6-B9 CSTC Icon Materials-Auburn A-464 7-04 1, 2 A44-A52 B6-B9 CSBC Icon Materials-Auburn A-464 7-04 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 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 ❑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 (HCl). 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 Distnbution Revised 03/2021 al Contractor Region ❑ efl Operations Engineer ❑Fabrication Inspection ❑Region Materials El State Matemals Lab,MS 47365 ANTEST Am Test Inc. LABOR AT ORIES 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 Analytical Suite C Services Kirkland, WA 98034 AMTEST (425) 885-1664 LABOR A TOR IES 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 ,r 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 3050B 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 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 601OD 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 3050B KF 02/27/22 Lead 11.5 ug/g 0.66 EPA 6010D KF 03/01/22 Aaron W. Young Vice President P.7 Am Test Inc. Professional 13600 NE 126th PL Analytical Suite C ��-� Services Kirkland, WA, 98034 (425) 885-1664 LABORATORIES 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 • . , AmTest Chain of Custody Record 13600 NE 126th PL,Suite C, Kirkland,WA 98034 • I. A a 0 R A T 0 R 1 E a Ph(425)885-1664 Fx(425)820-0245 , , • www.amtestlab.com • r • ' Chain of Custody No. ,••-• — Client Name &Address: Invoice To: ..... ... i ••/4...- --, ig-," it.''' . ,, 1 1 • .11,, - 7K ' ',' •' < litlidhiPe'r t(i II 1,i.t.,.i ..e77ici ,,,, iii,,,,,e-fi,"•,7.7 ,fi,,:(4,1 ui ' ---.? .-- 4, ,, ...-,, 1 , i • I 4:7.,:,, ,-/ 7 'cic-'`." ' L'. '' 1 ' • f"-,...c. (//)-'(.1 ) / I CO/u. 1 el.pfey-.1 , ,c...11;,...icifp .fi -- '1 -,.-,(.•-,0-0.) ,6,- . ,.... I ,„.At.I, • • Contact Person: r) ,. ..,_ i',),,,„,!.t ,, 11_, Invoice Contact: t"-) f 1.41{41 kt: ilt:,•-"Vi' i .. Phone No: '---), ., 1 0,:.„ e.',7 I<-.,'-: . PO Number: * iit):7491';:.6ifiliC ',..,-/i f ..-- / /C. • Fax No: Invoice Ph/Fax: E-mail: ,1-2„.„, , ,:,„,1„/.-.• 1--)f-.) ) , , /,••(„ipi f! i ,..i i! ,...-,.„. Invoice E-mail: 1-',•,•i)., 1 „„ / (;„ii ,J„_,.,,--Ay..,..4" ,./16 7 014' ti.f\.t:1 LI Vila 5.1%//, 'i 1 1..4-, i i ! . Report Delivery: (Choose all that apply) Data posted to online accoLint: YES / NO • ,..-- ---. Mail / Fax /( Emajl,-; / Posted Online Web Login ID: Special Instructions: . . • . • Requested TAT:....(Rush must be pre-approved by lab) Temperature upon Receipt: (''Standard,..--) RUSH ( 5 Day / 3 Day / 48 HR / 24 HR' ) Projea-Nae: ..., •; . u) Analysis Requested ,.... „ „ i_ Project Number: a) Cl. -5. ro . E E x .L./ (U ea • .20 g u) (I) (CI u (1) Il.) 4- • Client ID 4-, ITI E o u AmTest ID la I zci .se a (35 characters max) •. . (o5 "2, • • , • . (,eP/ .1 . . 77'1 5 . . . ' • . _ 7Z. 1 — li --1• 2, • 11- • _ • . . gollected/Relinquished By: Date Time Received By: Date Time 7 .. ._ ,11.•••-:-•• ' ..7:---- )-241,2 7 it;i.,, , !::„ L.- ;. ,:.••'''.--` 11.-/lii./.•? ,•.,F*7".;..4'4'.e.:07..,..g„„..--- Ziltit-Zi 1(1S -Relinquished By: Date Time Received By: • • Date Time 9_ • Relinquished By: Date Time Received By: Date . Time . i ..• • ' COMMENTS: • • . . - P.9 . , ITruck Scale Report &Certification 'Date Tested: January 14,2022 CO -1,• i NG Company Icon Materials E-mailr 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 12 Scale Serial Reg Sections: #: 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 Date Tested: January 14, 2022 CO III; I NO Company Icon Materials E-mails Name and Inbound Scale raysscalederek@yahoo.corn 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 J-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 »16705 Truck Scale Report &Certification Date Tested: January 14, 2022 CO ,► 4 NC Company Icon Materials E-mail.- rays sca tederek@ya hoo.com Name and Outbound Scale Po Box 8282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on Size 0 Min Grad: 20 lbs 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 BQEH 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 cVVVVVVVVVaVVa%\/\%\/VVVVV44lI`la`� I`t�`�lL`� J`�L`Lia' 'airV4" o '01 _ _O-iminunIIIJIIJ_Llilllll�l iiitl�lllllllllll-I_111i1. lIII1+11m1ILL1SI111111111llLonIot_n_u lllJ. 1. 1 ! 1 it 1 fo I of __- 11- O' p7 :�� = UNITEC Corporation Cam. 1 )ni ec 0 358 Upland Drive • Seattle,Washington 98188 - eo` ;o, _ QttfiCptt u ,Jxt �e�rtn c:: o' - This is to certify that�a J� (V ,y9O SO /cam-7//JC1.I scale(s) _ ems., 1:cp � • = Located at: ,c/4/10.'tQl-- 4vr{ ' ` e-/ - ��(,�`J-'^ttie/' / w i_ Co 'o = (were) serviced on this f / dayof (2C 20� , by an authorized representative of _ e was ;o' _ _ ca ` ' the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. o 4 I A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. _ C. (I>) _ (206) 575 1100 c �'� -' IIJ 111nlJrnlnJnlrrrII1�I IIn111111II1�liTl rl l�_�-I rJ�n�`I1`11��+�`�-- Tl'1`J�`II�`Jl��+ `1�`- `JI `O 1'O` I'O"O"O"O` cam" 0 0 0 0 0 0 0 0 0 0 0 � 0 0 0 0 0 0 0 0 0 0 0 0 1171 Washington State Department of Transportation Request for Apiproval 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# 8 PE Use Bld 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 5r8"Natural Sumner Pit B-231 C4 ,B6-B9 ` A44-A52 rcar�_ie•u. ". lib-tiy sun...r-, 1404 A43-A52 TnnehuBaekfitlelfor Sumner Pit B-231 9-03.19 1, 2 A43-A52 a h Graveacknitil for Sumner Pit B-231 9-03.19 1, 2 A43-A48,Grovel Backflfl for B6-B9 Pipe Zone Bedding Sumner Pit B-231 9-03.12(3) 1, 2 A43-A48 Gravel Backfill for B6-B9 Pip*Zone Bedding Sumner Pit B-231 9-03.12(3) 1, 2 • Project Engineer/Representative Date State Materials Engineer/Representative Date ���-. _ 1l31/2022 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'pnor 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 Wthheld: 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 0 Contractor DRegion Operations Engineer a Fabncation Inspection ❑Region Materials El Stale Matenals Lab-MS 47365 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 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% J DRY SAMPLE 1: 10.1 SE: 64% FRACTURE: 100% %Passing No.200 Dust Ratio: %Passing No.40 •The minimum percent paean the No.50 and No.100 sieves may be reduced to 5 and 0,respectively,if the aggregate is to be used in as-entrained concrete containing more than 400 lb of cement per cubic yard or in nonair-entrained concrete containing more than 500 b of cement per cubic yard(C 33 6.2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing 135" 99-100 1" 75-100 %" 50-100 9-03.9(3) Crushed Surfacing No 4 20-80 J One Course ITop Course Keystone No.40 3.24, Sieve SizePercent 1C No.200 10.0 max. I 1'/." 99 100 Sand Equivalent 35 min. v 1" 80-100 1:" 99-1004 %" 50-80 9-03.19 Bank Run Gravel for %" 8o-1oD 4 Trench Backfill No.4 25-45 46-66 J . Percent Piping No.40 3-18 8-24 4 '21� 75 00 I No.200 7.5 max. 10.0 max.4 No,4 22.100 %Fracture 75 min. 75 min. 1 No.200 0-10 Sand Equivalent 40 min, 40 min. I Dust Ratio: i4 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 ' 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 \ 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.: 164% FRACTURE: 98% %Passing No.200 Dust Ratio: %Passing No.40 'The minimum percent passing the No.50 and Nc '00 sieves may be reduced to b and 0,respectuely If the aggregate Is to be used In air-entralred co rdrete _orrunnry mare han 43C lb of eenwr1 per cubic yard or Ill rxme r-rntramed auncrete cortanmy•more area KO It,of cement per r:utrr.yard IC 33 6 2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing l's' 99.100 4 9-03.9(3) Crushed Surfacing1" 75-100 ( 1 x- so-too 4 (se Cou) Top Course and Keystone No.4 20-80 Sieve Size Percent Passing No.40 3-24 I vy 100 r No.200 10.0 max,, Sand Equivalent 35 min. 80-100 J 99-100 .--. - K„ so-Ion 9-03.19 Bank Run Gravel for No.a 25 as It 46 6e No.40 3-18 J 8-24 Trench Backfill No.200 7.5 max.'` 10.0 max. Sieeag Percesing %Fracture 75 min. 75 min. 2" 75-100`T Sand Equivalent 40 min. 1 40 min. No.4 _ 22-100 4 No.200 0-10 Dust Ratio: K max.,/ Sand Equivalent 30 min.4 rage added by engineer WSDOT MATERIALS LAB o1/28/2022 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 18 T2ON RSE 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 CCA Absorption: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: ,Page added,by,engineer Remarks: 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:'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-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 StrEarth 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) xxxxxxxx Page 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 ICON Summary Report Sample Information Sample No 303028092 10°- / aa Product Id 2350 Product Name 5/8"CS TC A° Specification 9-03.9(3)Crushed Surfacing TC *- Date Sampled 01/08/2022 10:00 70- Sampled By Randy Mattson ro. Sample Type Investigative 56. Sample Method Surge Pile . a0. Notes Submittal 2022 °".. i , t 1 . i.... i ,i . • r .i.•,1; i t r i . I a Sw"Oowlualon"I DIMS)023 030 106 OAP 112 OAP 4 83 04015.°W Cu 21.23 Cs I 00 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 % >_75 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 °/P 3/8"(9.5mm) 82 Wash Loss(#200/75um) 3.6 % 1/4"(6.3mm) 67 #200/#40 0.25 #4(4.75mm) so 46-66 9-03.12(3) Gravel Backfill for #8(2.36mm) 44 Pipe Zone Bedding Sieve #16(1.18mm) 32 Size Percent P #30(.6mm) 21 1#" 99-100 %Passing No.200 1" 75-100 t1, #40(.425mm) 17 8-24 Dust Ratio. %Passing No.40 %" 50-100 #50(.3mm) 12 No.4 20-80/ #100(.15mm) 6 No.40 3-24 #200(75pm) 4.2 0-10 No.200 lO.Omax.� 9-03.9(3) Crushed Surfacing t Sand Equivalent 35 min. Base Course (I Top wars ndd Keystone Steve She Percent�Passim 1%" 99-100 1" 80-100 9-03.19 Bank Run Gravel for IV' 99-100� Trench Backfill ,i" 5.80 Sc' 80-100 JJ 2" 75.100 (711 No.4 25-45 46-66 J No.4 22.100 No.40 3-18 8-24 t/ No.200 0-10 / No.200 7.5 max. 10.0 max.J Dust Ratio: %max r Sand Equivalent 30 min If %Fracture 75 min. 75 min. Sand Equivalent 40 min. 40 min. J _.........._...-- _.........-..,,__Materials(AMAT) ICON Summary Report Sample Information Sample No 655576787 too- Productld 2379 Product Name 1 1/4"CS BC u; Specification 9-03.9(3)Crushed Surfacing BC B0- // Date Sampled 01/04/2022 11:05 70 Sampled By James Begley 60_ Sample Type Process Control s: Sample Method Surge Pile # - 40- Notes r x- 2022 Submittal - 70- f/ 10- o,.. 1 . ' 7...... 1 . . r ....r i 1 r i ' • i 1 SNv"Ooenmp lmnl 015E51 045 050 254 050 758 050 1053 015005 50.Cu.2t 54 Cc 1 57 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) 96.0 % 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 #4(4.75mm) 37 25-45 Pipe Zone Bedding #10(2mm) 25 Siare5lee Peraant Pate #40(.425mm) 9 3-18 1h" 9P-100I/ %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 20.801/ j No.40 3-24 No.200 10.0 max. f 9-03.9(3) Crushed Surfacin Sand Equivalent 35 min. J 4;1;0 Top Course and Keystone Sieve Size .. " passim 1/" 99-100 1" 80-100 1 9-03.19 Bank Run Gravel for 3/4" 99-100 Trench Backfill x" 50-80 i'fr '1 '" 100 lla 2" 75.100 No.4 25-45 i 46-66 No.4 22.100 1 No.40 3-18 1 / 8.24 No.200 0-10 V / No.200 7.5 max. 1/ 10.0 max. Dust Ratio: %max. 11 %Fracture 75 min.1 75 min. Sand Equivalent 30 min. J Sand Equivalent 40 min. 1/ 40 min. StonemontQC 01/08/2022 CRH Americas Materials(AMAT) Aggregate Source Approval Report. https://www.wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A&pi... WSDOT MATERIALS LAB 01/31/2022 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,T2111 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 CCA Absorption:1.24 CCASp.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 andScour 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/biz/mats/ASA/ASAReport.cfm?prefix=A&pi... 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: 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 Sir 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 Drywelis 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 iiis October 18;2021 Ferguson-Tacoma#3156 2042112tStS Tacoma,WA 98444 Re: Advanced Drainage Systems,Inc. Certification of Compliance 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' 12650020IBPL2 12".HP DWALL STORM.WTIB.SOLID.20' 140' 18650020IBPL2 18".HP DWALL STORM.WTIB.SOLID.20' 80' 24650020IBPL2 24".HP DWALL STORM.WTIB.SOLID.20' Sincerely, Rob Nanni Plant Manager -!i, °i�l111"•"t W sPort"eo" 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 Hdqtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code B17 ALLTHRD ROD STS INDUSTRIAL Std. Plan - 10 106 A49-A53 SPEEDCRETE/REDLINE EUCLID CHEMICAL Std. Plan- 10 i 310.1 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. 0•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 I 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 ®Contractor ❑Region Operations Engineer 0 Fabrication Inspection 0 Region Materials ❑State Materials Lab-MS 47365 / A307 All Thread Rod.Galvanized BID ITEM B17 FOR HYDRANT RUNS The ASTM A307 specdicabon covers carbon steel oohs and studs ranging from 1/4'through 4'diameter 4307.s an econdmrcal low cotton material often manufactured using A36 round bar.Dimensional specifications 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 to the USA. es PRODUCTS GOVERNING STANDARDS MECHANICAL PROPERTIES CHEMICAL PROPERTIES GOVERNING STANDARDS _ea6 SUBMITTAL REVIEW Eaoapron Turn Mace Cueerrure Nwrn —Amends Nw.iorw Af7111 A:W Cass lee rreclrancei and matena requirements Er inch setts fastener'al caterers from T Rea n eed-see pe s Ire IMaige a•made or r Ton new hiving a momentum*venom of 60 COO pm aipdgt ANT NOTC;F IN,anew does not mom.IN*Coiarado.ism 1.'1 rr oY. naeponaWny b canpl a canlam AWE Walt.: Carer;the genera and tie3Mltlel daalorm'serves threaded lees . COR-TER Steel Tie ReaM min Sr.Flan.Spedarasons and COR sta Wan-31e.1 G,nnert UuiaronN AWN Il.1 UMC A Speodes Ste Sahel rem.gees clawa aeance tolerance,arm desgnalen to.united screw ^eZ br 0.6e.6rei•G' 1.4111.1 IMP Class 4A Treads. .e.x IN DIN tune 111I40: Diameter Thread Pitch ?> A307 All Thread Rod,Galvanized a'I The Euclid Chemical Company 11 SPEED CRETE RED LINE ED 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 0 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, xi cementitious matrix. SPEED CRETE RED LINE can be "shaved"for detailed repairs. rn PRIMARY APPLICATIONS m • Interior and exterior • Vertical and overhead repairs • 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 �^ v 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) 28 Day 5,700(39.3) Shrinkage 50%RH ASTM C157(3"x3"x11"specimens Set Time, ASTM C266 were removed from molds @ 24 hours) Initial 8 20 Min 28 Day -0.069% 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 �^ PACKAGING G'o 2/ SPEED CRETE RED LINE is packaged in 50 lb (22.7 kg) poly-lined bags, and 50 lb (22.7 kg) pails o o w 3 D 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 t9 o r ACI 306R "Guide to Cold Weather Concreting". "`r AL • 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. 1160 Gray t Osborne,Ir.. CONSULTING ENGINEERS Rev.03.19 By. DRS Date 1/11/2022 WARRANTY:The Eucio Chemical Company r"Euclid)solely and expressly warrants that its products shall be free from defects m materials and wo,kmar ship'or one it;year irurr the date of purchase.Unless authorized in writing by ar officer of Euclid no Other representations or statements made by Euclid or its representatives.in writing or orally,shall alter the warranty.EUCLIC MAKES NO WARRANTIES IMPLIED OR OTHERWISE, AS TO THE MERCHANTABILITY OR FITNESS FOR ORDINARY OR PARTICULAR PURPOSES OF ITS PRODUCTS AND EXCLUDES THE SAME.If any Euclid product tads 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 ava sable and buyer shall have no clam for incidental or consequential damages.Any warranty claim must oe made•wrthin one it I year from the date of the calmed breach.Euctio does not authorize anyone on its behalf to make any written or oral statements which in any way alter Euclid's installation information or instructions in its product literature or on its packaging labels.Any installation of Euclid products which fails to conform with such installation information or instructions shall void this warranty.Product demonstrations,it any.are done for illustrative purposes only and do'rot constitute a warranty or warranty alteration of any kind.Buyer shall be solely responsible for determining the srataality of Euclid's products for the Buyer s 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 SUBMITTAL REVIEW Pennsylvania 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 Sz Osborne,Ingo. 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 Approval of Material Contract Number FA Number NSA SR Duvall Ave NE Date CAG 20-065 01/11/2022 Section ITitle 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/QPL Hdgtr./QPL HQ Use Nc. Product/Type Manufacturer or Pit Number Reference Code Code A27.hex O" Sand Equiv.CSBS Squak Mountain 9-03.14(1) Gravel Borrow 2 6-03.21(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 Trench Backfill 9-03.21(1)C 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 I Date State Materials Engineer/Representative Date 1/13/2022 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. 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 Distnbution Revised 03/2021 0 Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materials Lab-MS 47365 9-03.12(3)Gravel Backfill for Pipe Zone Bedding 9-03.9(1) Ballast (for use as Gravel Borrow) Sieve Sieve Size Percent Passing Size Percent Passi 1S4" 49-100✓ 2'5" 99-100 I 1" 75-100 ----- 2"2" 65-100 J V" 50-100 r i" 26-44 X c IVo.4 26-44 No.4 20-80 d No.40 16 max. J No.40 3-24 No.200 9.0 max. J No.200 10.0 max.V Dust Ratio: %%max. r Sand Equivalent 35 min.J Sand Equivalent 35 min. 1 U.S.Standard Sieve Opening in inches U.S.Standard Sieve Numbers Hydrometer Results 100°/, 20 3 t'/ Y. '4 #4 10 16 20 33 40 50 tao 200 0% 90% i 10% 80% t! k� . . . 20% 70% ♦ 30% 60% a 40% 3 50% 4� . s 50% 40% �• - 60% .1 30% .♦ . �••, . ,. • 70% IX 20% . . -• .��r 80% 10% . . %� . �� 90% 0% � - 100% 1000 100 10 1 0.1 0.01 0.001 Grain Size in Millimeters Gravels Sands Cobbles Silts Clays Coarse I Fine Coarse 1 Medium I Fine _ Date:01/06;22 Dig,- 0.19 USCS Classification %Gravel %Sand Sample#:20-198 D30= 3.25 GP-GM,Poorly graded Gra 61.8% 31.3% Sample ID:Squak Mtn CSBC Ds°= 11.87 Specifications Source:Stock Pile 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- rCa 5.46 t.'oarse Actual Interpolated Fines Actual interpolated Section Cumulative Cumulative Section Cumulative Cumulative Sieve Size Percent Percent ' 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% 44 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% 718" 22.40 88.0% #80 0.180 9.6% 3/4" 19.00 79.9% #100 0.150 8.8% 5/8" 16.00 72.7% 72.7% 80.0% 50.0% #140 0.106 7.7% • 1/2" 12.50 61.9% #170 0.090 7.3% 3/8" 9.50 52.7% #200 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% 250 0 Copyright:Spears F.ngineeri ng&Technica I S r,ces PS.19%-200i 9-03.14(1) Gravel Borrow 9-03.12 2 Gravel Backfill for Walls 9-03.19 Bank Run Gravel Sieve Size Percent Passijv Sieve Size Percent Passing for Trench Backfill 4" 99-100 r.--- 4 99-99-100Sieve Size Percent Passing 2" 75-100 I 1 2 75-100 2" 75-100 1r . No.4 22-66 No.4 50-80 Xr No.200 5.0 max. X No.4 22-100 No.40 30 max. I No.200 0-10 Y } %Passing No.200 ..max. 1/No.200 7.0 max. Dust Ratio: %max Sand Equivalent 50 min. J Sand Equivalent 60 min. X Sand Equivalent 30 min. d . ' Washington State 1171. Department of Transportation Request for Approval of Material Contract Number FA Number NIA SR Duvall Ave NE • Date CAG 20-065 : 12/16/2021 Section I Title of Project Duvall Ave NE County King Contractor Subcontractor • Reed Trucking & Excavating, Inc. This Corm 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-# 659&061 PE Use . Bid Item Material or Name and Location of Fabricator, Specification PEIQPL HdgtriQPL HQ Use No. . Product/Type Manufacturer or Pit Number• Reference . Code Code - A35; CSTC Black •River Quarry 4-04 10. �f144-52, _.. B6-B9 • . . I • Project Engineer/Representative -��—� Date . State Materials Englneer/Representative. Date ---'' 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. 9. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. c Approval Withheld: 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 ID Contractor 0 Region Operations Engineer 0 Fabrication Inspection 0 Region Materials 0 State Materials Lab-MS 47385 WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling,Black River Aggregate Source:�S-A-51D Lessee: Known as: Kangley Rock Si.Recycling, Black River Located in: T23N, RANGE4E, SECfION14 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: 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 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 Spells 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)5 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 5-02.3(2)B PROJECT: Internal Testing DATE: 12/9/2021 LOGATION -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.60 and No.100 sieves may be reduced to 6 and 0.roupoctivoly,if tho aggregate 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 ib of cement per cubic yard(C 33.6.2) 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 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 U 060 PE Use Bid Item Material or Name and Location of Fabricator, ,Specification PEIQPL HdgtrJQPL HQ Use No. Productfrype Manufacturer or Pit Number Reference Code Code A35 CSTC Kangley Rock& Recycling 4-04 1, 2, A44-52., 1175, B6-B9 ASA } I _ Project Engineer/Representative -- - Date State Materials Engineer/Representative Date <-- `�--'�' 12/20/2021 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory Acceptance Criteria: Accep tance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. CS) 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 ❑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). (HQ)rks 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 ).1 Contractor 0 Region Operations Engineer 0 Fabrication Inspection ❑Region Materials 0 State Materials Lab-MS 47365 .y., y,1 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 1'G) AGGREGATE SIZE: 5/8" TESTER: Sean SIEVE WEIGHT . PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSINq cos 9-03.9 3/4" 0.0 0 100 J 100 1/2" 0.3 3 • 98 J 80 - 100 3/8" 1.1 11 89 #4 3.5 35 65 J. 46 - 66 #40 8.5 85 15 8 - 24 #200 . 9.9 99. 2 0 - 10 PAN 10.0 100 • 0 . WET SAMPLE: ..___.--TOTAL-MOISTURE_.-.-_-._.._..3.$%....._...--.--__.-., . DRY SAMPLE: 10.0 S.E.: 62% 4 FM: 1.20 . FRACTURE % 95% J 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 be used in air-entrained concrete containing more than 400 lb of cement per cubic yard or in nonairentrained concrete containing more than 500 lb 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 IC -A 516) Lessee: Known as: Kangley Rock&Recycling, Black River Located in: T23N, RANGE4E,SECTION/4 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: 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 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) Streamhed 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 Blanket9-03.13(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 WSDO -Materials Laboratory https://www.wsoot.wa.govfbiz/matsfyrLfyrLrroatnto.ctm:rrouucl n... Washington State 'Vallr Deportment of Traaaportatl'on • 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; 9-034(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 additionalinformation. • 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 Ir"TWashington State ir Department of Transportation Request for Approval of Material Contract Number FA Number • N/A SR Duvall Ave NE Date , CAG 20-065 Section/The 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. Product/Type Manufacturer or Pit Number Reference Code Code A35,M3 AC2, ems: CSTC Tier 2- $Q08k MOuntain • 9-03.21(1)C .10 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 • Gravel Backfill for Pipe Zone Bedding 9-03.12(3)- B6-B9 Tier 1 1,2 Squak Mountain-Issaquah 9-03.21(1)C • • • • • • • Project Engineer/Representative i Date State Materials 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 .D Yes ❑No V 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 ofMaterlals 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. pproval 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 MI Contractor ❑Region Operations Engineer ❑Fabrication Inspection El Region Materials a State Materials Lab-MS'47365 WSDOT-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLProductsGrid.cfm-i WiiWasNinn State Departme4tont of hi Qualified Products List Standard Specification: 9-03.21(1)C 1 Product Name _ IL Spec Title IL__ 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 • 1 Concrete Aggregate (RS-B-352) I Aggregate i _ Tier 1 and Tier 2 - Recycled I Recycled Concrete i Kangley Rock &Recycling, Black River, 1 Concrete Aggregate (RS-A-516) j Aggregate 1 Renton-WA Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-F-211) Aggregate 1Cowden Gravel & Ready Mix, Bellingham-WA, Tier 1 - Recycled Concrete I Recycled Concrete i' ;IAmerican Rock Products, Richland-WA Aggregate (RS-R-189) ,Aggregate i __ I Tier 1 - Recycled Concrete I Recycled Concrete i I Aggregate (RS-FN-121) I Aggregate American Rock Products, Pasco-WA ,- !Tier 1 - Recycled Concrete I Recycled Concrete i Aggregate (RS-O-146) Aggregate ;American Rock Products, Walla Walla-WA Tier 1 and Tier 3 - Recycled I Recycled Concrete Ipro-Recycle, LLC, Spokane Valley-WA !Concrete Aggregate (RS-C-345) Aggregate _ Tier 1 - Recycled Concrete I Recycled Concrete j Holroyd Green Products Plant, Tacoma-WA Aggregate (RS-B-351) 'Aggregate I_ `__ _ Tier 1 - Recycled Concrete I Recycled Concrete 1I Renton Concrete Recyclers, Renton-WA Aggregate (RS=A-519) _ _j Aggregate i 'Tier 1 - Recycled Concrete Recycled Concrete IBlake Sand &Gravel, Sequim-WA i Aggregate (RS-Q-241) Aggregate I I Recycled Concrete Aggregate ercyRS B 350 Concrete i A re ate jDickson Company, Tacoma-WA Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-D-359) Aggregate I 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 Recycled Concrete Aggregate ADS A 518) ,Aggregate I Corliss Resources, Inc., Enumclaw-WA Tier 1 - Recycled Concrete ; Recycled Concrete Action Materials, Inc., Spokane-WA Aggregate (RS-C-344) I Aggregate Tier 1 and Tier 3 - Recycled I Recycled Concrete ' j Concrete Aggregate (RS-D-360) Aggregate Fruhling Sand &Topsoil, Bothell-WA , Tier 1 - Recycled Concrete I Recycled Concrete I Aggregate (RS-OR-90) I Aggregate I.V. Riley, Bingden-WA Tier 1 and Tier 2 - Recycled 1 Recycled Concrete i Stampede Sand &Gravel LLC, Easton-WA Concrete Aggregate (RS-S-312) j Aggregate i _ __________ _ Tier 1 and Tier 3 - Recycled Recycled Concrete Miles Resources - Lakeview, Lakewood-WA 1 Concrete Aggregate (RS-B-353)_ J Aggregate __________ _ ; Tier 1 and Tier 3 - Recycled Recycled Concrete {Reece Construction Company, Arlington-WA Concrete AggregateiRS-D-361) ___1 Aggregate _I 1 of 2 12/29/2021,8:45 AIV \.VSD T-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.govrotz✓mats/L t'L/yrLrroauctsvna.crm Tier 1 and Tier 3 - Recycled Recycled Concrete Girard Resources & Recycling LLC, Concrete Aggregate (RS-A-517) Aggregate 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 Recycled Concrete Black Lake Resources, Littlerock-WA Aggregate (RS-J-217) Aggregate Tier 1 - Recycled Concrete 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 WA Copyright WSDOT© 2016 2 of 2 12/29/2021,8:45 AM ALLIANCE Alliance Testing Services A PO Box 2377 TESTING Renton,WA 98056 425-757-0762 ..,,z-...- 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 T11/27 3/4"(19mm) 100.0 °k 100-100 1/2"(12.5mm) 89.4 % 80-100 #4(4.75mm) 49.7 % 46-66 #40(0.425mm) 13.3 % 8-24 #200(75um) 7.60 % 0-10 AASHTO T176 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 1 for Trench Backfill Sieve Size Percent Passing 1 99-100 1 Sieve Size 1" 75-100 r '4" 50-100 1 No.4 22-100 No.4 20 80 Dust Ratio:0 35 max.' i No.40 —_- 3-24 1 No.200 10-0 max 1 Sand Equivalent I 30 min. Sand Equivalent 35 min. StonemontQC ANIL Washington State Department 4 .Transportation Request for Ap roval 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 N 021 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 A45 Sanitie ADS, Inc. 7-04 2210 Projec•Engineer 'resentative Date State Materials Engineer/Representative Date O� c 'eptance ion Codes for uses by' Project Engineer and State Materials Laboratory 1.' Ac ptance. . cceptance based upon'Satisfactory"Test Report for samples of materials to be incorporated into p ct. 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 ❑Region Materials 0 Stale 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 • 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 installation guidelines. Pipe Dimensions 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 18.2, 21.1 24.1 30.1 35.7 41.8 47.3 59.3 in(mm) (307)' (378) (457Y (536) (612), (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). (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 Washington State W/ Department of Transportation Qualified Product List Engineer's Addition 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© 2016 https://www.wsdot.wa.gov/biz/mats/QPL/QPLProdinfo.cfm?Product no=2011001&product... 9/8/2021