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CAG-20-065 - Duvall - A47 - TR. 1 ST Storm Sewer Pipe 12 IN.
• Q . .. 6' C' C • J C 7 t J l' 11 L-J 4' 7 4' 4 V _ _ O O le io 1\O ice,i• v/ice/i• ce/ice/i6/ice/•V iv/i• ce/\`/\�%'•kJ/\�/Ailing/� i`nv\-/iUl iU/\6`/ice/i•ce/\U/V •IU•/r%I\?/V\•,/ ;1 _irrinrrrrru u lr rrrwrr M-uuuuwu rr )irrrrtrifrrrrrftrruu u u u i► iririrrrrrr►uuuuuirL u rluur uuuun ii1,rrrrrrrririirrrtruuinrinruuurrrirrrrrr►_ Cam, �� _ UNITEC Corporation • = e `° _ ' 4111°T---)n . .' 358 Upland Drive • Seattle,Washington 98188 = C?; .. : � = c!Iirttthati lit,1xtn nrtt t ...4 This is to certify that L/yt r7 c /.r.':-c. scale(s) moo: ^�� Located at: ,5 wi9l- M )afz) lea is / / = Co was (were) serviced on this 2ek day of 71¢n/r tsdn•( 20 Z'Z, by an'authorized representative of r C.4.. , • �' = the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. = C� :1 EE = Cam. i ;•oo - A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. E C. .�� • = Cam• 1 o (206) 575-1100 = C"` ,o� =rniurriirrurrrrururrurrrrrrrrrriirrruI1Illrfrrrll116riririinrrnnrnnnrrinnrr•rrrnu•u1rnriririnniririruurrrrirriilriiunrinrrrnunniunriirrnir= C`�-', Jo'rO�• �O-�r•O►sOr rO,' O• i�. /O�; r0 iO�. lO•�iO`; 0,'rOs• Or rO�rvO��.AV!'���O��O����iO�, rG��O•i i�-� 'O�i�r�_ iG•�iO ° . 0 c ANIFEST Am Test Inc. L A a o a A T o R i 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 Analytical Suite C Services Kirkland, WA 98034 ANIFEST (425) 885-1664 L A B o R A T o R I E s www.amtestlab.com 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 3050E 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 3050B 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 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 3050E 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 AMT EST 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 Aar n . Young Vice President P.7 Am Test Inc. Professional 13600 NE 126th PL Analytical Suite C Services Kirkland, WA, 98034 ANIFEST (425) 885-1664 LABOR A T O 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 a.. :.., . . • ite--"' EST ,, , ••;., AmTest Chain of Custody Record 13600 NE 126th PL,Suite C, Kirkland,WA 98034 LA uoR A oni es . Ph(425)885-1664 Fx(425) 820-0245 • , , www.amtestlab.com • f • - Chain of Custody No.__'- - Client Name Bt.Address: .,, i,,.., Invoice To: --- •• .5.--- ,..',",-444-7 1,- ,4,..?....,i,,, ,; p:' ', ".... t'1,:f t,, t t-4 L'I -.Is, ,./. ':?1?, 1,C i'1 ,71.1.'1171-0. a i--.'i, ..• ..., . ti...,,..1 i , a.. t, , ,,- • ,..,„.. . 0.,:,,;.,,,,. ) •..,;, /rii,/,.. ,2,,,..: i A.w..1 Li.„,)„ • ,, ,.., „.;. „ .1,.. I-) -.,• .., ,,..„, . , .; ,,. . .,,,,,, •) .„-.. ,.a,;.;(.,,,,a,..1 i,(re..,•(.t ti,:).-1• e..../ ; ,'" i (.. . r c„..,,,, , ,, ....„,,ic,•(1:6-pl .,,,f, i.6., 4,-• . ',(71;" •,[4,1 i z.~71 i 4.li t ... -. 6- Contact Person: 0, . . .., . im, fl. , ,,- Invoice Contact: 1--) iI 1,, N f yr" , i 61 r ;. , I,. •,.1( i .,..6.1&if\ - • Phone No: '-',-,,i 110;i,„ </le:,--? PO Number: .1 r // i•-, 7,1-.., : /4 - ‘1. M 43/ Fax No: Invoice Ph/Fax: 1 E-mail:i(f.---4.7: t i ii i1!i i ,..•f•-• ,f t7 Invoice E-mail: 1)/-6, ii;. .. 7 , I i t,• f.,.-I Report Delivery: (Choose-&that-apply) Data posted to online account: YES / NO Mail / Fax // • , Email--,, / Posted Online Web Login ID: - Special Instructions: . . . • . • ftequested.TAT:....(Rush must be pre-approved by lab) Temperature upon Receipt: 1+5 (Standard-) RUSH ( 5 Day / 3 Day / 48 HR / 24 HR' ) Projea-Naiii : _...„ •i - ,... Analysis Requested . ) Project Number: cu a) .c -6_ -r3. E E x RI ili3 13 g tn u) is u . a) tu i, • Client ID 4a co E 0 • u AmTest ID (35 characters max) . • a . . 2. --An-7 1 5,1i---. . 9 • . - (L-,C 2. . . . . . (61 3 • . 1O L4 . - . . 77( 5 . _ 7Z. 1 - 1'iLit 7g t 711 3 . . • - . . IS t+ . -7(0 St 4 A . _ • 1 . collectecItRelinquished By: Date . Time Received By: Date Time -, -7,•,./, 7 7 ;; ' / lerr,--45"-}1:::, •>;„.....,"_, i 4„ ,. /...t... if /,1 ip/ ' '' ' 4 21241 VI, LOS Relinquished By: Date Time Received By: • • Date Time • k Relinquished By: Date Time Received By: Date . Time . . • COMMENTS: . . P.9 • Truck Scale Report &Certification Date Tested: January 14,2022 CO U NO Company Icon Materials E-mailer 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: 8201 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 for Instructions Scale Technician ' na d Agent#): Owner/Operator: Derek Larsen T16705 Truck Scale Report & Certification Date Tested: January 14,2022 CO ► 4 NG Company Icon Materials E-mails 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 .1�s"'"—fi 16705 Truck Scale Report &Certification Date Tested: January 14,2022 CO NG Company Icon Materials E-mail Fr Name and Outbound Scale raysscatederek@yahoo.com 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#: 634435 County: King Number of Scale Serial Q Reg Q Sections: 5 #: 8 EH Element: I 710 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 0 V\/\%\0%\%\2%VVVVVVVVVVVVV\S%\�%VV�/\�%VVe/\k/VVV V 0 p _.1111111U11111.111I1I1U1111II11111111I1iui�1111111.LlltllllilaIIIIIIllil1IIIL1}III1111LI1L1IIlt.1111111I1I11111.LI1t11111%I.IIlI111111111111111111IPIt1L1IItll)I11!Il.II O< UNITEC Corporation __ t. 70 : vi4 1 1%..t 1 a. °1i"1"—-".""..,I"04 0 4I I I Ik j�- Q�j 358 Upland Drive • Seattle,Washington 98188 = 45. 1 = :0 Jitttf1C ,ttr at Attoprr tLrt _ V ' This is to certify that �7� (U; 1 _ v9O gO /cam-7./ l &scale(s) C • _ o ._ Located at: c *',l 4, 6-7 ./ 4 tirt€ f _ Co o _ was (were) serviced on this 1 dayof CI( � 20 , by an authorized representative of _ 0' = the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. = Co .) '_ A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. El 44„ o. = SZ eo EC G _ �: 3Y: .�-off ; _ o o (206) 575-1100 C�• 0' ' "mltl+ll�r1111=I IIIrrllliiki I(II111IIfJll1PII! 111IM11111I1II1�7111IUfIf1rII1 11rlllloll[II 11tn1111 IIIIIIIIIIIIIITIIlltlli-f 1111JY1111( 1I1I Cr:..: -n ___ __ /a�/0\/0�/9\/�� e /\/��/0�/>%)./e� ��/" /" /" ��/0�/e�r��/� iv,/��4�►ID)'I� 0\/d\/o-/��4e. . jU .t` Washington State •/ 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# 80 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL Hdgtr.IQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A44-A52 CSTC 5'8'Natural Sumner Pot B-231 7-04 1 2 86-B9 A44-A52 rsixr>vd^n�ryry � r 7-04 ,13u-89 A43-A52 B nk ltaaclfi let f or Sumner Pit B-231 9-03.19 1, 2 A43-A52 Bank Run Gravel for Trench Backfill Sumner Pit B-231 9-03.19 1, 2 A43-A48,Gravel Backfill 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 (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 0 Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materiats ❑State Materals 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 ' I 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 passing the No.50 and No,100 sieves may be educed to 5 and 0,respectively,if the aggregate is to be used in an-entrained concrete containing more than 400 lb of cement per cubic yard or in nonatr-entrained concrete containing more than 500 @1 of cement per cubic yard(C 33 6.21 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing 1Y=" 99-100 1" 75-100 %" 50-100 4 9-03.9(3) Crushed Surfacing No.4 20-80 t► Base Course Ens s Course Keystone No 40 3-24 4 Sieve size Percent PaeZ9r No.200 10.0 max. Sand Equivalent 35 min. 4 1'%" 99-100 1" 80-100 34" 99-100 4 %a 50.80 9-03.19 Bank Run Gravel for y," so-100,j Trench Backfill No.4 25-45 46-66 4 Sin.sin p.,T epiiiir tr No.40 3-18 8-24 4 2 75 No.200 7.5 max. 10.0 max. No.4 22.100 %Fracture 75 min. 75 min. 1 No.200 0-10 Sand Equivalent 40 min. 40 min. 4 Dust Ratio: 9,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 COS 9-03.9 SIZE RETAINED RETAINED PASSING Type 2G 1-1/4" 0.0 0 100 , 99 - 100 1" 0.3 3 97 -s: 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 art-entrained concrete containing more than 400 lb of cement per cubic yard or in nonav-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%" 99-100 1-.—. 9-03.9(3) Crushed Surfacing1" 75-100 ( 1 %" So-loo 4 (Base tours) Top Course and Keystone No.4 20-80 J Sieve Size Percent Passing No.40 3-24 4 1'/+" 99-100 No,200 10.0 max,'! i" 80-100 J Sand Equivalent 35 min,' i4" 99-100 %" 50.80 1 K" 80-100 No.4 25-45 46_� 9-03.19 Bank Run Gravel for No.40 3-18 4 8 2a Trench Backfill No.200 7.5 max. 10.0 max. 5ieq/p Percesirne %Fracture 75 min.v 75 min. 2' 75-100 r Sand Equivalent 40 min. 1 40 min. No_4 22-100 No.200_ 0-10 4 Dust Ratio: '',max. 1 Sand Equivalent 30 min. 1 �-v-^.^Ylr-rr-rY i Y-rvrrwY'r�� :Page 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 Spells,Rock for Rock Wail, 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 Spalls Riprap Rock for Erosion arid 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:Ea,th walls:' Test Date: 02/0i/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-an,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 far 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) :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 i 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 PE1QPL Hdqtr./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 B6-B9 CSTC 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 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 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 (HQ): 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 Fabrication Inspection El Region Materials ❑State Materials Lab-MS 47365 ICON Summary Report Sample Information Sample No 1264637438 Product Id 2380 Product Name Gravel Borrow .1/(7" Specification WSDOT 9-03.14.1 Gravel Borrow BP Date Sampled 01/07/2022 09:00 ra Sampled By Skye Southward 00 Sample Type Investigative 1P d50 Sample Method Surge Pile 40 Notes 2022 Submittal (B) is 0 6 5 0 - .A 'rq' >. - Sims "+aimmi Dt0t0s1.0.16 DX,066 D60 1.42 060240 oi5065:a02 Cu 49'Cc 079 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 % >_50 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 Sieve size Percent Passing #40(.425mm) 25 0-30 1%" 99-100 #100(,15mm) 9 %Passing No.200 1" 75-100 #200(75pm) 6.7 0-7 Dust Ratio: %Passing No.40 %" (550-100D No.4 2040 No.40 3-24 X No.200 10.0 max. Sand Equivalent 35 rnin. 9-03.14(1) Gravel Borrow Sieve Size Percent Pas 9-03.19 Bank Run Gravel for 4" 99 100 Trench Backfill 2" 75-100 skr& No.4 50-80 �/ 2" 75.100 No.40 30 max_ J No.4 22-100 J �/ No.200 0-10 r No.200 7.0 max, Dust Ratio: 'h max. J Sand Equivalent 50 min. J Sand Equivalent 30 min. J StonemontQC 01/10/2022 CRH Americas Materials(AMAT) ICON Summary Report Sample Information Sample No 303028092 10°. Product Id 2350 Product Name 5/8"CS TC ao: Specification 9-03.9(3)Crushed Surfacing TC ""- Date Sampled 01/08/2022 10:00 T°- Sampled By Randy Mattson 60- Sample Type Investigative I w: Sample Method Surge Pile Notes - 30- Submittal 2022 /./ 6 a-... i . t .i . 1.... i .i % R 'a , .5 " 'i., 'w a'6.'., S. 5..0,10000010,1 D10 05,.023 090:106 DW 312 OW 453 COMM.004 Cu 2123 Cr 1 CO 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 °/a 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) 60 46-66 9-03.12(3) Gravel Backfill for #8(2.36mm) Pipe Zone Bedding Sieve Size #16(1.18mm) 32 Percent Pule #30(.6mm) 21 Di" 99-100 %Passng No.200 1" 75-100 #40(.425mm) 17 8-24 Dust Ratio: %Passing No.40 Y." 50-100 #50(.3mm) 12 No.4 20-80/ #100(.15mm) 6 No.40 3-24 #200(75Um) 4.2 0-10 No.200 lO.Omax./� 9-03.9(3) Crushed Surfacing Sand Equivalent 35 min.tl Bete Course Top Cou nd ICernone Steve Site Percent 1%" 99-100 1" 80-100 9-03.19 Bank Run Gravel for Trench Backfill IS" 99-100/ x" 50-80 11 isilli %" 80-100�J 2" 75-100 No.4 25-45 46-66 r No.4 22.100 No.40 3-18 8-24 / No.200 0-10 No.200 7.5 max. 10.0 max.J Dust Ratio: %max 1/ Sand Equivalent 30 min. %Fracture 75 min. 75 min. / Sand Equivalent 40 min. 40 min. Y _...............__ .......,,_..__ ......................Materials(AMAT) ICON Summary Report Sample Information Sample No 655576787 Product Id 2379 vo, � Product Name 1 1/4"CS BC v.. Specification 9-03.9(3)Crushed Surfacing BC a5: Date Sampled 01/04/2022 11:05 to- Sampled By James Begley r,- Sample Type Process Control w- Sample Method Surge Pile :" b- / Notes 2022 Submittal v. 2°- / �/ 0 .. 1•'' . 1 . ,r ••"r i i t i 'i • i 1 xw.00."•+otmnl 01g55t 049 030 254 MOMS 050 1059 0154015 0 M Co.2'55 Ct 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 % >_40 AASHTO T176 2"(50mm) 100 Fractured Faces(>1) 98.0 % _>75 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 3i8"(9.5mm) 56 9-03.12(3) Gravel Backfill for #4(4.75mm) 37 25-45 Pipe Zone Bedding Slim/Size Passim #10(2mm) 25 Percent #40(.425mm) 9 3-18 1%" 99.100 %Passing No.200 1" 75-100 / #100(.15mm) 3 Dust Ratio: %Passing No.40 3c" 50-100 #200(75pm) 2.0 0-7.5 No.4 20-8011 No.40 3-24 t! No.200 10.0 max. V 9-03.9(3) Crushed Surfacing_ Sand Equivalent 35 min. , Course Top Course and Keystone Steve Size Passing 1%" 99-100 1" 80-100 1 9-03.19 Bank Run Gravel for %" 99-100 Trench Backfill Si" 50 801 9iPircaiiiill " t 80-100 2TTiiaa"" 75-100 No.4 25-45 t/ 46-66 J , Pb,4 22 i00/ No.40 3-18 / 8-24 No.200 0-10t/ No.200 7.5 max. tJ/ 10.0 max. Dust Ratio: %max. /� %Fracture 75 min.tl 75 min. Sand Equivalent 30 min. r Sand Equivalent 40 min. J 40 min. StonemontQC 01/08/2022 CRH Americas Materials(AMAT) Aggregate Source Approval Report. https:I/www.wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A&pi... WSDOT MATERIALS LAB: 01/31/2022 Aggregate Source .Approval Report Owner: La Plants Limited Partnership •Aggreg ate.So urce: PS-A-464 Lessee: Icon Materials,Inc. Known as: Auburn Pit Located in: SW1/4 SW1/4 SEC 28&-29 Section.28,29,T21N.R5E County: King Remarks: • Mlreeral Agg: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 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 CCA Sp.G:2.68 Deg:72 FCAAbsorption:2.18 FCAOrganics:3 FCASp.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'Acceptancetests need to be performed as necessary Riprap,Quarry•Spalls,Rock for Rock Wall,Erosion and-Scour Protection: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: Remarks: 1 of - 1/3I/2022,9:43 AM Aggregate Source Approval Report. https://www.wsdot.wa.gov/bizimats/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: CurrentlyApproved 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 11"71 WaillthiVtanDePartmentStiliteof Teti°" 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 ALL THRD ROD STS INDUSTRIAL Std. Plan - 10 106 A49-A53 SPEEDCRETE/REDLINE EUCLID CHEMICAL Std. Plan- 10 t 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 '-)'V - 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. •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 0 Region Operations Engineer ❑Fabrication Inspection 0 Region Materials 0 State Materials Lab-MS 47365 I • A307 All Thread Rod.Galvanized BID ITEM B17 FOR HYDRANT RUNS V00, - The ASTM A307 specification covers carbon steel bolts and sleds rangng from 114'through 3'diameter A307 is an economical low carbon matenal often manufactured using A36 round bar Dimensional specifications are governed by ASME 818.31.3.A307 ail 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 dorreshc,melted and manufactured in the USA 4k e easy PRODUCTS GOVERNING STANDARDS MECHANICAL PROPERTIES CHEMICAL PROPERTIES GOVERNING STANDARDS GRADE A307A SUBMITTAL REVIEW Na Exupnns Tatum Make Carectien Nowa Amend&Rrrubmb AETM AJGT Coven I rmt re ecna ical area material requirements for ntcn series fast alers .t. _- _X. Rmd eeRemarksen Remarks Ire Waugh i'mane Or Lawn steel having a mnlmo nr leases strimain or 60 IaiPORt ANT NOTICE Ths orate does not lease the Conned.inns Rmenneady b comely A colon,. ANNIE 81441.3 Covers me genera and ranlenslona data au ncn Senna Intended NOS CDR-TEN&ear TM Rabin; ore M Plan'Spectilcalorn.and CDR std.Plan-30A C°"aad "1ee� qab AWE 81_1 MC A SPeerges the Paean fon verges class allowance.tolerance,and des anate n he leased west c:s 9c Q r L.. uuaa UNF Class L threads. Diameter } Thread Pitch } V A307 AN Thmed Rod,Galvanized of i The Euclid Chemical Company SPEED CRETE RED LINE ED RAPID SETTING REPAIR MATERIAL EUCLID CHEMICAL m ao n 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, cementitious matrix. SPEED CRETE RED LINE can be"shaved"for detailed repairs. rn v PRIMARY APPLICATIONS m '17 • 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 t^ v m rr+ The following are typical values obtained under laboratory conditions. Expect reasonable variation under field conditions. m Compressive Strength, psi (MPa)ASTM Clos Freeze Thaw Durability Factor ASTM C666 24 Hour 2,550(17.6) 300 Cycles 96.75% 7 Day 4,000(27.6) r" 28 Day 5,700(39.3) Shrinkage 50%RH ASTM C157(3"x3"x11"specimens v 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 co '" CD XI SPEED CRETE RED LINE is packaged in 50 lb (22.7 kg) poly-lined bags,and 50 lb (22.7 kg) pails o o0 SHELF LIFE "+ 4t 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 t q �j c,o r �J " r,ACI 306R "Guide to Cold Weather Concreting". ITTAL • 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. Gray&Oshorri,,Imo. CONSULTING ENGINEERS Rev.03.19 gv. DRS Date-1/11/2022 WARRANTY:The Euclid Chemical Company('Euclid)solely and expressly warrants Char as products snail be Iree from defects in materials and workmanship for one(1)year from the date 1ff purchase.Unless authorized in writing by an officer of Euclid.no other representations or statements made by Euclid or its representatives.in writng or orally shall alter this warranty.EUCLID MAKES NO WARRANTIES.IMPLIED OR OTHERWISE. AS TO THE MERCHANTABILITY OR FITNESS TOR ORDINARY OR PARTICULAR PURPOSES OF ITS PRODUCTS AND EXCLUDES THE SAME.It any Euclid 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 avalable and buyer shalt have no claim for incidental or consequential damages.Any warranty claim must be made within one(1)year from the dale of the claimed breach.Euclid 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`ads to conform with such installation information or instructions shall void this warranty.Product demonstrations,,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 determining the suitability 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&QBi e,I 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 I 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/QPL Hdgtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A27.A32134 Sand Egwv.CSBS Squak Alountam 9-03'14(1) Gravel Borrow z 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 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, 89.05 Project Engineer/Representative r 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. O2. 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. 0 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 O Contractor Region Operations Engineer ❑Fabrication Inspection El Region Materiats State Materials L ab"MS 47365 9-03.12(3)Gravel Backfill for Pipe Zone Bedding 9-03.9(1) Ballast(for uTse as Gravel Borrow) I Sieve Stu Percent PassiTs Sieve Size Percent Pam t/ 2%" 99•100 Di" 99-100 ' 2" 65-100 ✓ 1" 75-100 1" 50-85 X 'h" 50-100 J No.4 r 26-44 No.4 20-80 t No.40 16 max. 1 No.40 3-24 1, No.200 9.0 max. J No.200 10.0 max.1 Dust Ratio: %max. Sand Equivalent 35 min.J Sand Equivalent 35 min. { U.S.Standard Sieve Opening in Inches U.S.Standard Sieve Numbers Hydrometer Results 100% 20 t 't. '' #4 10 16 20 31) 40 50 100 200 0% 90% 10% 80% 4 t \\\,. - 20°l0t 70% \ • , ' 30%60% „ 1 % 40% 350% „ . .. 4� \ .. . " " . 50% 'Ti a 40% *` 60% 1 + . m o % -� 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 I Medium .I, Fine Date:01/06/22 Di°-0.19 ISCS Classification %Gravel 4'0 Sand Sample#:20-198 D30= 3.25 GP-GM,Poorly graded Gra 61.8% 31.3% Sample ID: Squak Mtn CSBC D6o= 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°i0 Boring 4: Plastic Limit=n/a Fineness Modulus SE 56 Depth: Plasticity Index- Ma 5.46 Coarse 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% #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°/o 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% 1 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% 5118" 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% 114" 6.30 42.9% #270 0.053 #4 4.75 38.2% 38.2% 45.0% 25.0"o Copyright ltipeur�Engineering&Technical Serciei,PS,1906-21x15 • 9-03.14(1) Gravel Borrow 9-03.12(2) Gravel Backfill for Walls 9-03.19 Bank Run Gravel Sieve Size i Percent Passi g Sieve Size Percent Passing for Trench Backfill 4" 99-100 t� 4" 99.100 1 Sieve Size Percent Passing 2" 75-100 1 2" 75.100 J ___ 2" 75-100 No.4 22-66 1f ' No.4 50-80 X No.4 22-100 t/ /- No.200 5.0 max. X No.40 30 max. 1� %Passing No,200 / No.200 0-10 No.200 7.0 max. 1Dust Ratio: ;max. I Dust Ratio: %max %Passing No.40 Sand Equivalent 50 min. i Sand Equivalent 60 min. X Sand Equivalent 30 min. r Ilk Mr7Washington State /7/AP Department of Transportation Request for.Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 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 PE/QPL Hdgtr./QPL HQ Use No. .Product Type Manufacturer or Pit Number Reference Code Code ;A44-52, CSTC Black River Quarry 4-04 10 B6-B9 I ' Project Engineer/Representative ,- - (-�--: Date State Materials Engineer/Representative Date e-_.2_\.,—) .,::" 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 p p P P into . . , project 2. Acceptance Criteria: Mfg.Cart 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. Accep tance tance.Criteria::Only p '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. cCrit10: Approval Withheld: 'Per ASA-Report, source not approved for CSTC Miscellaneous Acceptance eria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ❑K Contractor 0 Region Operations Engineer 0 Fabrication Inspection ❑Region Materials 0 State Materials Lab-MS 47365 b WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling,Black River Aggregate Source RS-A-516 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: • AT est 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 Spoils,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)B Gravel Backfil!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)13 . PROJECT: Internal Testing DATE: 12/9/2021 LOGA-TION --Black River--Quarry SAMPLE SOURCE:A-51:6 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.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(C33 6.2) Adak Washington WI Department OJf Tre'ansp+at'tation Request for Approval of Material Contract Number FA Number SR Date CAG 20-065 N/A Duvall Ave NE Section 1 Title of Project . Duvall Ave NE County King i 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 4 060 PE Use Bld Item Material or Name and Location of Fabricator, Specification PEIQFL Hdgtr.IQPL 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 " . i Project Engineer/Representative -t Date State Materials Engineer/Representative Date ,C c,'�'1=. 12/2012021 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory `J 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 El 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):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 03l2021 ®Contractor 0 Region Operations Engineer 0 Fabrication Inspection 0 Region Materials El State Materials Lab-MS 47385 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 9-03.9 314" 0.0 0 1.0.0 J 100 1/2" 0.3 3 - 98 4 80 - 100 3/8" 1.1 11 . 89 #4 3.5 35 . 65 4.6 - 66 #40 8.5 85 .15 . 8- 24 #200. 9.9 99 2 J 0 10 PAN 10.0 • 100 -0 WET SAMPLE: 10.4- :TOTAL-MOISTURE: .-.-.3.$% —.- 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 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) ©❑ WSDOT MATERIALS LAB 12/16/2021 •Aggregate Source Approval Report Owner: Kangley Rock&.Recycling, Black River Aggregate Source: S-A.516 Lessee: Known as: Kangley Rock&Recycling, Black River • Located in: T23N, RANGE4E,SECTIONI4 Section 14 T2314 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: • I IOT 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) 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 SW 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 8 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)8 WSDOT-Materials Laboratory https://www.wsdot.wa.gov/blz/mats/yiL/QYLYrodmto.ctm7Yroduct n... � Washington State VIAIF Department of TFAneporthtton 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 � Washington State V . Department of Transportation Request for Ap roval of Material Contract Number FA Number N/A SR Duvall Ave NE ate CAG 20-065 Section/Title of Project County Duvall Ave NE 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 HdgtcJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A35,A43 A62, -�-gg- CSTC Tier 2 Squak 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 B6-B9 Tier 1 Gravel Backfill for Pipe Zone Bedding 9-03.12(3) 1,2 Squak Mountain;-Issaquah 9-03.21(1)C Project Engineer/Representative - Date State Materials Engineer/Representative Date t ..1 1/3/2022 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. 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'Approver 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: 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: (HO): 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 ❑x 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.cfm-. � Washington State Tar Department of transportation 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 ConcreteI Central Pre-Mix (An Oldcastle Infrastructure 1 Concrete Aggregate (RS-C-343)_ Aggregate !Company), Spokane Valley-WA , Tier 1 and Tier 3 - Recycled ! Recycled Concrete 1 Concrete Aggregate (RS-B-352)_!Aggregate Tucci and Sons, Lakewood-WA Tier 1 and Tier 2 - Recycled Recycled Concrete I Kangley Rock & Recycling, Black River, 1 Concrete Aggregate (RS-A-516) Aggregate j Renton-WA Tier 1 - Recycled Concrete I Recycled Concrete ,Cowden Gravel & Ready Mix, Bellingham-WA1 j Aggregate (RS-F-211) Aggregate I j Tier 1 - Recycled Concrete iiRecycled Concrete American Rock Products, Richland-WA Aggregate (RS-R-189) Aggregate _, I Tier 1 - Recycled Concrete i Recycled Concrete American Rock Products, Pasco-WA Aggregate (RS-FN-121)__ !Aggregate __ Tier 1 - Recycled Concrete I Recycled Concrete lI — LAmerican Rock Products, Walla Walla-WA j I Aggregate (RS-O-146) Aggregate ; -- _ __ 1 Tier 1 and Tier 3 - Recycled I Recycled Concrete ; 1 Concrete Aggregate (RS-C-345) _ ;Aggregate Pro-Recycle, LLC, Spokane Valley-WA ;Tier 1 - Recycled Concrete I Recycled Concrete (Holro d Green Products Plant Tacoma-WA • Aggregate (RS-B-351) I Aggregate I_ y ' ;Tier 1 - Recycled Concrete Recycled Concrete I Renton Concrete Recyclers, Renton-WA ;Aggregate (RS=A-519) i Aggregate i Tier 1 - Recycled Concrete I Recycled Concrete • Blake Sand &Gravel, Sequim-WA • I Aggregate (RS-Q-241) ,Aggregate _ Tier 1 - Recycled Concrete i Recycled Concrete Dickson Company, Tacoma-WA Aggregate FRS-B-350)) ___-_ ___ __ I Aggregate -__-_--__. ___ ' Tier 1 - Recycled Concrete ; Recycled Concrete !Lenz Enterprises, Inc., Stanwood-WA Aggregate (RS-D-359) Aggregate 1_ 'Tier 1 - Recycled Concrete ! Recycled Concrete Aggregate (RS-B-349) ;Aggregate Corliss Resources, Inc., Puyallup-WA Tier 1 - Recycled Concrete ]Recycled Concrete Corliss Resources, Inc., Enumclaw-WA 99J A re ate (RS-A-518) Aggregate (�" � Tier 1 - Recycled Concrete ; Recycled Concrete j Action Materials, Inc., Spokane-WA Aggregate (RS-C-344) ;Aggregate Tier 1 and Tier 3 - Recycled i Recycled Concrete Concrete Aggregate RS-D-360 Aggregate. Fruhling Sand &Topsoil, Bothell-WA Tier 1 - Recycled Concrete I Recycled Concrete III.V. Riley, Bingden-WA i Aggregate (RS-OR-90) Aggregate 1L _ . Tier 1 and Tier 2 - Recycled ; Recycled Concrete Stampede Sand &Gravel LLC, Easton-WA Concrete Aggregate (RS-S-312) _-;Aggregate _ _ Tier 1 and Tier 3 - Recycled Recycled Concrete !Mlles Resources - Lakeview, Lakewood-WA Concrete Aggregate (RS-B-353) Aggregate ___ i_ Tier 1 and Tier 3 - Recycled . ; Recycled Concrete I I Reece Construction Company, Arlington-WA] Concrete Aggregate (RS-D-361) jAggregate , 1 of 2 12/29/2021,8:45 AIV. WSDOt-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLProductsGrid.cfm 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-]-217) Aggregate Tier 1 - Recycled Concrete Recycled Concrete 'glack 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 .LWA Copyright WSDOT®2016 2 of 2 12/29/2021,8:45 AM ALLIANCE PO Box 2377 Alliance Testing Services (Ai TESTING Renton,WA 98056 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 T11/27 3/4"(19mm) 100.0 % 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 °k 0-10 AASHTO T 1'!6 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 IF:" 99100 Shwa Size Percent 1" 75-100 ✓ �iling '4" 50-100 J No.4 22-100 No.4 20 80 1 No.200 0-10 No.40 I 3-24 ✓ Dust Ratio: %max. No.200 i 10.0 maxi Sand Equivalent I 30 min. Sand Equivalent ( 35 min:.I' StonemontQC o allili► 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#023A 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 A47 Metal Pipe Contech 7-04 2215 roject E ineer/Re• :sentative Date State Materials Engineer/Representative Date 4c•pt. ce Action Codes for useible Project Engineer and State Materials Laboratory 1. ccepta • 'Maria: 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 for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Treatment 1 with asphalt or polymer is required on the corrugated steel pipe Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ®Contractor 0 Region Operations Engineer ❑Fabrication Inspection ❑Region Materials 0 state Materials Lab-MS 47365 BID ITEM A47 taism 111111111111111C ' NTECH 4 ENGINEERED SOLUTIONS CorrugatedMetalPipe Design Gui e 46„ Treatment 1 with asphalt or polymer is required on the corrugated steel pipe SUBMITTAL REVIEW No Exceptions Taken x 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 8z Osborne,Ina CONSULTING ENGINEERS By: TLS Date: 9/8/21 C=::NTECH PIPE SOLUTIONS Durability Design Guide Using the CMP Design Guide Proper design of culverts and storm sewers requires structural, The choice of material,gage and product type can be extremely hydraulic and durability considerations.While most designers important to service life.The following steps describe the are comfortable with structural and hydraulic design,the procedure for selecting the appropriate drainage product, mechanics of evaluating abrasion,corrosion and water material and gage to meet a specific service life requirement. chemistry to perform a durability design are not commonly found in most civil engineering handbooks. Design Sequence 1. Select pipe or structure based on hydraulic and clearance The durability and service life of a drainage pipe installation is requirements. Use Tables 5 and 6 as reference for size directly related to the environmental conditions encountered at limits and hydraulic properties of all drainage products. the site and the type of materials and coatings from which the 2. Use Height of Cover tables for the chosen pipe or structure culvert is fabricated.Two principle causes of reduced service life to determine the material gage required for the specific in drainage pipe materials are corrosion and abrasion. loading condition. Service life can be affected by the corrosive action of the 3. Use Table 1 to select the appropriate material for the backfill in contact with the outside of a drainage pipe or more site-specific environmental conditions.Whenever possible, commonly by the corrosive and abrasive action of the flow existing installations of drainage structures along the same in the invert of the drainage pipe.The design life analysis water course offer the most reliable estimate of long- should include a check for both the water side and soil side term performance for specific environment conditions. environments to determine which is more critical—or which In many cases,there will be more than one material that governs service life. is appropriate for the project environmental conditions. Generally speaking,the metal material types increase The potential for metal loss in the invert of a drainage pipe due in price as you move from top down on Table 1. Please to abrasive flows is often overlooked by designers and its effects contact your local Contech Sales Representative for pricing. are often mistaken for corrosion.An estimate for potential abrasion is required at each pipe location in order to determine 4. Use Table 2 to determine which abrasion level most the appropriate material and gage. accurately describes the typical storm event(2 year storm). The expected stream velocity and associated abrasion This manual is intended to guide specifiers through the conditions should be based on a typical flow and not a 10 mechanics of selecting appropriate drainage products to meet or 50-year design flood. service life requirements.The information contained in the 5. Use Table 3 to determine whether the structural gage for following pages is a composite of several national guidelines. the selected material is sufficient for the design service life. If the structural gage is greater than or equal to the gage required for a particular abrasion condition and service life, use the structural gage. Conversely,if the structural gage is less than the gage required for a particular abrasion condition and service life,use the gage required by Table 3. Note: Both Contech round pipe and pipe-arch are available with either helical _oven wel corrugations. Contech HEL-COR pipe(helical corrugations) is furnished with continuous lock seams and annual re rolled ends or non- rerolled ends. For 3"xl"and 5"xl"HEL COR pipe arch,we recommend '. non-rerolled ends with flat or dimpled bonds and flat gaskets. Contech i �► * �'� ti �`'`4 riveted pipe is furnished with annular corrugations only.The height of • cover tables in this guide are helical corrugations only.Consult your Contech representative for Height of Cover tables on riveted pipe. 3 Table 1—Recommended Environments Material TYPO Soil"and Water pH Resistivity(ohm-cm) ©11©.11.� 10 m® Minimum Maximum Galvanized Steel• ■■■■■■■■■■ 2,000 10,000 Aluminized Steel Type 2 ■■ ■■■ 1,500 N/A (MOW :,ALT2 fI /f . Polymer-Coated ■■■■■■■■■■ 250 N/A i/f/i11t"I t1 Aluminum Alloy ■ ■■■ 500 N/A ''i11' Appropriate pH range for Galvanized Steel is 6.0 to 10 Table 2—FHWA Abrasion Guidelines ' Abrasion Level Abrasion Condition Bed Lood Flow Velocity(fps) 1 Non-Abrasive None Minimal wrst ' 2 Low Abrasion Minor <5 .\ =. , 3 Moderate Abrasion Moderate 5-15 `< 4 Severe Abrasion Heavy > 15 $W "Interim Direct Guidelines on Drainage Pipe Alternative Selection." FHWA,2005. Table 3-Drainage Product Usage Guide Application Culverts,Storm Drain,Cross Drain,Median Drain,Side Drain Roadway Classification Rural Minor Major Urban Rural Minor Major Urban Rural Minor Major Urban Design Service Life 25 50 75 100 25 50 75 100 25 50 75 100 Abrasion Level Abrasion Level 1 &2 Abrasion Level 3 Abrasion Level 4 CMP(1/2"&1"deep corrugations),ULTRA FLO®&Smooth Cor" Minimum gage required to meet design service life,assuming that structural design has been met. Galvanized(2 oz.) 16 12 10 8° 14 10 8 N/A 145 105 85 N/A Galvanized and Asphalt Coated 16 14 10 8 14 12 8 N/A 14' 125 85 N/A Galv.,Asphalt Coated&Paved Invert 16 16 14 10 16 14 12 8 14 12 10 N/A Aluminized Type 2(ALT2) 16 16 16 14 14 14 14 12 14' 14' 14" 126 Polymer-Coated 16 16 168 169 16 16 168 169 14' 14' 141,8 14" Aluminum Alloy 16 16 16 16 14 14 14 14 145 145 145 145 1. Based on Table I-Recommended Environments. 2. Smooth Cor"Steel Pipe combines a corrugated steel exterior shell with o hydraulically smooth interior liner. 3. Service life estimates for ULTRA FLO'and Smooth Cor'"Pipe assume a storm sewer application.Storm sewers rarely achieve abrasion levels 3 or 4. For applications other than storm sewers or abrasion conditions above Abrasion Level 2,please contact your Contech Sales Representative for gage and coating recommendations. 4. Design service life for 8 GA galvanized is 97 years. 5. Invert protection to consist of velocity reduction structures. 6. Asphalt coated and paved invert or velocity reduction structures are needed. 7. Requires a field applied concrete paved invert with minimum thickness 1"above corrugation crests. 8. 75 year service life for polymer-coated is based on a pH range of 4-9 and resistivity greater than 750 ohm-cm. 9. 100 year service life for polymer-coated is based on a pH range of 5-9 and resistivity greater than 1500 ohm-cm. Table 4-AASHTO Reference Specifications Material Type Material Pipe Design® Installation' CMP(1/2"or 1"deep corrugations) Galvanized(2 oz.) M218 M36 Section 12 Section 26 Asphalt Coated M190✓ M36 ✓ Section 12 Section 26 Asphalt Coated and Paved Invert M190 M36 Section 12 Section 26 s Aluminized Type 2 M274 M36 Section 12 Section 26 Q Polymer-Coated M246 M36&M245 Section 12 Section 26 _A. Aluminum Alloy M197 M196 Section 12 Section 26 d ULTRA FLO (3/4"x 3/4"x 7-1/2"corrugation) ad X Galvanized(2 oz.) M218 M36 Section 12 Section 26 s Aluminized Type 2 M274 M36 Section 12 Section 26 Polymer-Coated M246 M36&M245 Section 12 Section 26 Aluminum Alloy M197 M196 Section 12 Section 26 Smooth Cor" Polymer-Coated I M246 I M36&M245 Section 12 Section 26 ' AASHTO LRFD Bridge Design Specification and AASHTO Standard Specification for Highway Bridges 4 WSDOT - Materials Laboratory Page 1 of 1 Engineer's Addition Washington State �� Department of Transportation Qualified Product List Product Information Manufacturer : Contech Engineered Solutions LLC, Arlington - WA Product Name : Corrugated Steel Storm Sewer Pipe; Treated Standard Spec : 9-05.10pe - Steel - Storm Sewer Pipe (Treated) Product Description : Corrugated steel storm sewer pipe, coupling band and gasket; Treated Product Restriction : Acceptance Code : 2215 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. If the Contract contains a Buy Amen a clause, -Contractor. Note 3 : Pipe shall be coated with a protective treatment in accordance to Std Spec. 9-05.4(3), 9-05.4(4) or 9-05.4(5), whichever is applicable and if required. Note 6 : Gaskets meeting section 9-04.4(3) are required. Note 7 : Th r ect Office will need to forward a copy of the completed QPL page to the Fabricati spection Office for notification as soon as this material is approved for use. Last Updated : Sep 13, 2010 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=1994046&product... 9/8/2021 WSDOT - Materials Laboratory Page 1 of 1 Washington State A.V Department of Transportation Qualified Product List Engineers Addition Product Information Manufacturer : Contech Engineered Solutions LLC, Portland - OR Product Name : Corrugated Steel Storm Sewer Pipe; Treated Standard Spec : 9-05.10, Pipe - Steel - Storm Sewer Pipe (Treated) Product Description : Corrugated steel storm sewer pipe, coupling band and gasket; Treated Product Restriction : Protective treatment shall be 5 Acceptance Code : 2215 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. I , PEO is responsible for acquiring a Certificate of Material Origin from the Contractor. Note 3 : Pipe shall be coated with a protective treatment in accordance to Std Spec. 9-05.4(3), 9-05.4(4) or 9-05.4(5), whichever is applicable and if required. Note 6 : Gaskets meeting section 9-04.4(3) are required. Note 7 . Th roject Office will need to forward a copy of the completed QPL page to the Fabri n Inspection Office for notification as soon as this material is approved for us . Last Updated : Sep 13, 2010 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT cc) 2016 https://www.wsdotwa.gov/biz/mats/QPL/QPLProdinfo.cfm?Product no=1994048&product... 9/8/2021 WSDOT - Materials Laboratory Page 1 of 1 YMoshington State VI/ Department of Transportation Qualified Product List Engineer's Addition Product Information Manufacturer : Contech Engineered Solutions LLC, Airway Heights - WA Product Name : Corrugated Steel Storm Sewer Pipe; Treated Standard Spec : 9-05.10, Pipe - Steel - Storm Sewer Pipe (Treated) Product Description : Corrugated steel storm sewer pipe, coupling band and gasket; Treated Product Restriction : Protective treatment shall be 1 or 5 Acceptance Code : 2215 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. If the Contract contains a Buy America clause, the PEO is responsible for acquiring a Certificate of Material origin from the Contractor,---_ Note 3 : Pipe shall be coated with a protective treatment in accordance to Std Spec. 9-05.4(3), 9-05.4(4) or 9-05.4(5), whichever is applicable and if required. Note 6 : Gaskets meeting section 9-04.4(3) are required. Note 7 : Pro. ct Office will need to forward a copy of the completed QPL page to the Fabricatio nspection Office for notification as soon as this material is approved for use. Last Updated : Sep 13, 2010 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=200603 9&product... 9/8/2021