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HomeMy WebLinkAboutCAG-20-065 - Duvall - A50-Catch Basin Type 1 I • llS . . . '. E_ C' _ . ' . ' a ' '' " , . " ' " ' . ' - ' t!4 ` - . , . ". . ' ' . . . . : y ' O S Ce' 2e' O' O' O' O' O' rJ' O' O' V C 4OJ 4' 0 4 J 474 4 ' CV' .`�' 6�' O' 'liar liellirO' e' V' O'.libt4r MielarV C� •" C�' O' O' �,[�' .4 = tttntttttuu u rttittttttt4uuu u itettittttiZtf nfinniitiitu uu u uu ttttttit►ttttiiiiiitliu u uuuu n �u tutiuutitttttttittttttin u u ttiittrititttttttt_ ��; ;o' _ = Cam: • a' = UNITEC Corporation _ 111 �'C v . . ' = 358 Upland Drive • Seattle,Washington 98188 = C? ,�' - = Cam:, ��' �/ 4 • a14-=_ Cam`: . :. I Taft �ratr Li1,insp rti1n • o' _ This is to certify that G ��r. �� scale(s) • = Co ILocated at ,$9UI9� /r/vim 1erre) alli if /c ,/a4 w = �� 1 i was (were) serviced on this 2c)4.- day of 77I9Aiaser t 20 7-7, by an authorized representative of F C`?, ! �' = • the UNITEC CORPORATION. Certified Test Weights traceable to US. Government Standards were used. • = Cam' .4, = = Cam• o• k = A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. = C O. o' _ • (206) 575-1100 4:" O a 9 ac a ter. i i O)} , ABAITEST Am Test Inc. LABOR AT OR IES 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 AMITEST Services Kirkland, WA 98034 (425) 885-1664 L A B OR A T OR 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 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 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 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 3050E 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 3050B 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 I ' P.7 Am Test Inc. Professional 13600 NE 126th PL Analytical Suite C ��-� Services Kirkland, WA, 98034 (425) 885-1664 LABOR A T ORIES www.amtestlab.com 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 20.0 183.40 % 22-A002576 Lead ug/g 11.5 37.0 35.0 172.86 % 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 k .,T'1 EST AmTest Chain of Custody Record 13600 NE 126th PL,Suite C, Kirkland,WA 98034 I. A a on A es . Ph(425)885-1664 Fx(425)820-0245 www.amtestlab.com • . i . . Chain of Custody No. 1— - Client Name &Address: 1 i - Invoice To: <,.. ,• , • ,..,,,.4./4••,-/--ii ,47••,,,i- -7,-,(-:-. • Ye'Yi.1.` 1/.„. . ),,-11 i_ila rc •l'''"..-q- (-)r.1 r 1'1:4'4 : . I nr -'1 ? .. _.±k.,..i ta 1,,,. i,I/,i,L it. , a• ' 1, '',-.:i, c-f-7/,:4) (ft A".,,...ii?,i) ..21 /CV/,2 U. 1 61.1 tip:1 • :- ,:,;,,/,‘,.,1 zi .r.:g 7,6'0,-, - -I - '.•o• '• - Contact Person:p .••••.. , • • 1 , Invoice Contact: I-) 7 1 i.1 - . .- • jil.1{.:t I. Ye: ii/)e?.e,rir IL 1K 1,,, ,, ,4„:( vr ,.,,,pl,r Cif/\ . Phone No: r-2,-.:., Z-. CO .! L e,sI0c:,,— PO Number: ,icli..t j ef 7 i-, id Z7 j / / Fax No: Invoice Ph/Fax: . . E-mail: ,'"1_-___ ,,,,:., nn ) .„ .0-_,:)!I I ,. ,/ i i /-, Invoice E-mail: r)r) ) ,. i (:::),A i; ic ,,,ii: ,il 6;r\. Vila-1.1 P.=1./.I',"1:717 1, "..7 I/ k (...VI it,/s.,.. • t, • - Report Delivery: (ChooseAthatpply) 1 Data posted to online accoLint: YES / NO Mail / Fax /C EmalL. / Posted Online Web Login ID: Special Instructions: . . ' . Requested..TAT-:.,(Rush must be pre-approved by lab) • Temperature upon Receipt: rtiandard-2 RUSH ( 5 Day / 3 Day / 48 HR / 24 HR• ) Projea-Ne: .. •; j..0,-`,:..A- ' (4 Analysis Requested -0 v ai Project Number: -a -a 6 E E x 4.., Va iti 13 g ci) 44 C,,, u . 0 , Client ID 4, ro E 0 u AmTest ID (35 characters max) • 0, tcl- 07 i :- 512, . 3 . . (b, ' 2. . . • . -70 14 • , . . 77( 5 1 , I 114 • . . . • 775 of , „. 70 4 . • _ . golcted/Relinquished By: Date Time Received By: Date Time t / .--• .• •,,,0 --, 7 i 2 7 / ;,..._,- ., ,,..----. , ... if.1 ,,vie ,•2':''' -1%::' *".iii.;: . 212-11f1 ti MS • Fieiinquished By: • Date Time Received By: • • Date Time ‘ Relinquished By: Date Time Received By: Date Time COMMENTS: . . P.9 c `Truck Scale Report&Certification 3 Date Tested: + .r to - A ''`' January 14,2022 s CO , :► I NG, - " Company , Icon Materials E-maiIigP- raysscalederek@yahoo.com and # Asphalt Scale rayssca�ederek@yahoo.com Po Box 8282 Address:. 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on 0 Min Grad: I 20 lbs S1Ze a� 120'x 10' Arrival: j Platform: Capacity: 60 ton CLC: , 35 ton Scale: f Unibridge Make: .j Rice Lake 1 Serial#: 1514200059 ' County: King Number of 12 Scale Serial ' N/A Reg 820i Sections: #: Element: . 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#): w -_. Owner/Operator: Derek Larsen'` #l.6705 :._.. Truck Scale Report.&-Certification , -- I Date Tested: January 14,2022 CO - 4 NC,. ' Company Icon Materials E-mailu raysscaiederek@yahoo.com Name and Inbound Scale Po sox 8282 Address: i 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on I Size ; 0 , Min Grad: 20 lbs p 80'x 10' Arrival: Platform: I Capacity: _ 60 ton CLC: 50 ton ( Scale: 1 Murphy Make: . Rice Lake Serial#: B34429 County: = l King Number Of 6 vt Scale Serial N/A I Reg 1 14 710 .Sections: ; I It: L . :Element: - 1 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 31,920 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- _ __I - ' . . 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 6705 Truck Scale Report&Cert po ification t A Date Tested: - January 14,2022 CO -11 4 NG Company i Icon Materials E.maiia Name and Outbound Scale raysscalederek@yahoo.com PO Box 8282 Address: ,a • 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on- ' - Size ..� Arrival: 0 Min Grad: 20 lbs Platform: 80'x 11' Capacity: -( 60 ton CLC: i. 50 ton. } Scale: ; Suvivor Make:. J Rice Lake Serial#: • 834435 County: King Number of 5 Scale Serial ? 8QEH Reg IQ 710 . _Sections: _ #: _ Element: I 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_andAgent#):. !i _ Owner/Operator;: - - - - Derek Larsen #16705 ' N mar vvvvvvvvvvvvvvvvvvvvvvvv 0-'' �� o 1 = I I III. II I I I 111111I11111II1111111I1I1111111 U U 111lllIILI111111IIIIIIIIIJIIIIIIIIuI111111111U 11111111111111111111i- GQ • o>) E. - Co �� = UNITEC Corporation = . Una ec P - 358 Upland Drive • Seattle,Washington 98188 = Co off _ _ Cc off = = Co. 1 . O.Iirttfirati of,Jttspi rtttixt = �o. 1 = This is to certify that 4on4L l U , 9O &) /d'►-7 ()(/ scale(s) = C Co. 0 = Located at:, r/4j'to�- 4 L! i t•�/ -4 ' .€r l = Co 1 = was (were) serviced on this 1 , day of 1 ' 20 , by an authorized representative of = Cc �' E the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. = Co off _ _ C.). 0 = A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. = C'. BY:1 _ (206) 575-1100 E C ,0' =i11111T11 I 1 l l l l l l l 1 1 1 ITi`1 iTrl'I I I I I I I I 11 1 11 1 1 I I 1T1 1 1 r= Co. - - - - - - - - - - 0— "��------ - - - - - ��-mac o � 4- Washington State ♦/ Department of Transportation Request for A roval of Material Contract Number FA Number NSA SR Duvall Ave NE Date CAG 20-065 O1128120ZZ 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# 80 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 A44-A52 CSTC 5I8 Natural Sumner PI B-231 7 04 1 2 .B6439 A44-A52 rCRC'I vn^ni-,.Jrp 6e.,nerFSt 7-ui ,B6-B9 A43-A52 B:nnken ea wf;,;ei for Sumner Pit B-231 9-03.19 1, 2 A43-A52 Bank Run Gravel for Sumner Pit B-231 9-03.19 1, 2 Trench Backfill 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 L .G( 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 El Contractor 11 Region Operations Engineer Fabrication Inspection ❑Region Materials El State Materals Lab-MS 47365 .4 . 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 t 99 - 100 5/8" 0.0 0 100 . 4i 1/2" 0.9 8 92 80 - 100 3/8" 2.7 27 73 1/4" 4.7 46 54 #4 5.5 54 46 J 46 - 66 #40 9.0 89 11 J 8 - 24 #200 9.7 96 4 J 0 - 10 PAN 10.1 100 0 WET SAMPLE: 10.6 TOTAL MOISTURE 5.0% DRY SAMPLE 1: 10.1 SE: 64% �,j' FRACTURE: 100% %Passing No.200 Dust Ratio: %Passing No.40 'The minimum percent passing the No.50 and No.100 sieves may be reduced to 5 and 0,respectively,if the aggregate a to be used in air-entrained concrete containing more than 400 lb of cement per cubic yard or m nonair-entrained concrete containing more Man 500 lb of cement per cubic yard(C 33 8.2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing 1°:" 99 100 1" 75-100 %" 50-100 4 9-03.9(3) Crushed Surfacing No 4 20-80 1 Base Course Top Course nd Keystone No.40 3-24 4 Sieve Size Percent Passing No.200 10.0 max, .__ _ Sand Equivalent 35 min. J 1'%" 99-100 1" 80-100 34" 99-100 4 %M so-so 9-03.19 Bank Run Gravel for w, ao-too 4 Trench Backfill No.4 25-45 46-66 4 Sieve Size Percen}tt�ppP*sing No.40 3-18 8-24 2�1/2" 75 I00 4 No.200 7.5 max. 10.0 max. No.4 22.100 %Fracture 75 min. 75 min. J No.200 0-10 Sand Equivalent 40 min. 40 min. 4 Dust Ratio: %max. Sand Equivalent 30 min. J 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 J 50 - 80 1/2" 3.8 38 62 3/8" 4.5 45 55 r #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% r DRY SAMPLE: 9.9 S.E.: 64% \,;` FRACTURE: 98% %Passirg No.200 Dust Ratio: qd Passing No.40 'The minimum percent passing the No,50 and No.100 soaves may be reduced to 5 and 0,respectively,d the aggregate Is to be used In ar-entrained concrete containing more than 400 lb of cement per cubic yard or in nonair-entrained concrete containing more than 500 lb of cement per cubic yard(C 33 6.2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Pasting 1%" 99.100 4 1" 75-100 9-03.9(3) Crushed Surfacing %" so-100 if Ease Cours Top Course and Keystone No-4 20 80 Sieve Size Percent Passing No.40 3-24 No.200 10.0 max, 1%" 99-100 Sand Equivalent 35 min. 1" 80-100 J 34" 99-100 %" 5O-8O Si" 80-100 9-03.19 Bank Run Gravel for No.4 25 45Nt 46-66 No.40 3 18 , 8-24 Trench Backfill No.200 7.5 max. 10.0 max. Sie e p Percel ing %Fracture 75 min.', 75 min. 2" 75,1C011 Sand Equivalent 40 min. It 40 min. No.4 22-1004 — No.200 0-10 4 Dust Ratio: 'S max.4 Sand Equivalent 30 min.d 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 R5E County: Pierce Remarks: Mineral Agg.and Surfacing: Test Date: 04/15/2021 Expiration Date: 04/15/2026 Absorption: 1.01 Apparent Sp.G.:2.745 Bulk Sp.G.(SSD):2.697 Bulk Sp.G.:2.67 Deg:66 LA:14 Remarks: Currently approved as a source of aggregate for: ATB Ballast BST Crushed Cover Stone BST Crushed Screenings Crushed Surfacing Base Course Crushed Surfacing Key Stone Crushed Surfacing Top Course Gravel Backfill for Foundation Class A HMA Other Courses HMA Weanng Course Maintenance Rock Permeable Ballast Acceptance tests need to be performed as necessary. Aggregates for Concrete: Test Date: 02/01/2018 Expiration Date: 02/01/2023 ASR-14 Day:0.56 ASR-One Year:0.04 CCAAbsorption:1.18 CCA Sp.G:2.681 Deg:70 FCA Absorption:2.04 FCA Organics:1 FCA Sp.G:2.627 LA:12 Remarks: 1-Year ASR Results expire 12/19/2023 Currently approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Acceptance tests need to be performed as necessary Acceptance tests need to be performed as necessary Riprap,Quarry Spalls,Rock for Rock Wall, Erosion and Scour Protection: Test Date: Expiration Date: Absorption. Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.' Deg: LA: Page added,by engineer • 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:-02/01/2018 Expiration Date: 02/01/2023 Absorption:1.18 Apparent Sp.G.:2.735 Bulk Sp.G.(SSD):2.681 Bulk Sp.G.:2.65 Deg:70 LA:12 Remarks: Currently Approved for: Streambed Aggregate Gravel Borrow for Structural,Earth Walls: Test Date: 02/01/2018 Expiration Date:.02/01/2023 • Bulk Sp.G.(SSD):2.681 Deg:70 LA:12 Remarks: For geosynthetic reinforcement,the gravel borrow shall be tested for pH priorto•placement. For metallic reinforcement,the gravel borrow-shall be tested for pH,resistivity,chlorides,and sulfates prior to,placement.If the resistivity of the backfill material equals.or exceeds 5,000 ohm-cm,the specified chloride and sulfate limits may be waived,If the aggregate source has variable quality,additional testing-may be required. Contact the Regional Materials Engineer-or the State Geotechnical Engineer for direction. Currently Approved for: Gravel Borrow for St 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) 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 Washington State ♦/ Department of Transportation Request for Apiproval of Material Contract Number FA Number N/A SR Date CAG 20-065 Duvall Ave NE 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 PEIQFL Hdgtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A27 A44-A52 Gravel Borrow Icon Materials-Auburn A-464 7-04 1, 2 , B6-B9 A44-A52 CS TC Icon Materials-Auburn A-464 B6-B97-04 1, 2 A44-A52 CSBC Icon Materials-Auburn A-464 7-04 1, 2 . B6-B9 Project Ergineer/Reoresentative Date State Materials Engineer/Representative Date c.a-..'-, 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 (HO): CSTC may be used for CSTC, Bank Run Gravel for Trench Backfill and Gravel Backfill for Pipe Zone Bedding CSBC may be used for Bank Run Gravel for Trench Backfill and Gravel Backfill for Pipe Zone Bedding DOT Form 350-071 Project Engineer Distribution Revised 03/2021 0 Contractor ❑Region Operations Engineer 0 Fabncation Inspection 0 Region Materials 0 State Metenals Lab-MS 47365 ICON Summary Report Sample Information Sample No 1264637438 e- • • Product Id 2380 Product Name Gravel Borrow Specification WSDOT 9-03.14.1 Gravel Borrow Date Sampled 01/07/2022 09:00 w- Sampled By Skye Southward ,,- Sample Type Investigative 60 Sample Method Surge Pile - a- Notes 2022 Submittal m, (B) 20- fo- o-... r . . -1. ..... . .r...T I r r. . i ..r.l % " • xa %' . Swr.00nmaimmi 0,01E5).0 IS D90 066 D60 1 42 DSO 40 0150066 602 Cu 1491 Co.0 S 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 % _650 AASHTO T176 2"(50mm) 100 75-100 -#200(75um) 6.7 % 1"(25mm) 98 Grad Loss 0.0 % 3/4"(19mm) 94 Wash Loss(#200/75um) 4.5 % 1/2"(12.5mm) 88 3/8"(9.5mm) 82 #4(4.75mm) 71 50-80 9-03.12(3) Gravel Backfill for #10(2mm) 57 Pipe Zone Bedding #40(.425mm) 25 0-30 Sive a Percent Passing 1%" 99-100 #100(.15mm) 9 %Passing No.200 1" 75-100 #200(75pm) 6.7 0-7 Oust Ratio. %Passing No.40 %" C50 100, No.4 20-80 No.40 3-24 X No.200 10.0 max. Sand Equivalent 35 min. 9-03.14(1) Gravel Borrow Sieve Size Percent 100 9-03.19 Bank Run Gravel for 4" 99- Trench Backfill 2" 75-100 No.4 50-80 �/ No, 2" 75.100/11 N0.40 30 max. J NO.4 22.100 No.200 7.0 max. No.200 0-10 Dust Ratio: '',max. 4 Sand Equivalent 50 min. Sand Equivalent 30 min. J StonemontQC 01/10/2022 CRH Americas Materials(AMAT) • ICON Summary Report Sample Information Sample No 303028092 too- ProductId 2350 Product Name 5/8"CS TC so. Specification 9-03.9(3)Crushed Surfacing TC B0" Date Sampled 01/08/2022 10:00 70: Sampled By Randy Mattson s,. Sample Type Investigative so- Sample Method Surge Pie 02. Notes 30. Submittal 2022 20• 10. 0•... I • t1 . t.••• .t . . rv^rt it- i • I BNwO0/n"q trawl D101E31.023 020 106 OW 212 OW 483 DISC*:004 Cu 2123 Cc 100 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 % .40 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 % 3/8"(9.5mm) 82 Wash Loss(#200/75um) 3.6 % 1/4"(6.3mm) 67 #200440 0.25 #4(4.75mm) so 46-66 9-03.12(3) Gravel Backfill for #8(2.36mm) 44 Pipe Zone Bedding #16(1.18mm) 32 sieve size Percent Pub #30(.6mm) 21 - 1'�" 99-100 %Passing No.200 1" 75-100 J #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. 10.0max.� 9-03.9(3) Crushed Surfacing Sand Equivalent 35 min.i Base Course (I Top course And Keystone Sieve Size Percent Passing �' 1'4" 99-100 1" 80-100 9-03.19 Bank Run Gravel for x" 99-100/ Trench Backfill %" 50 80 / Silo G L K" 80-100 1� 2" 75-100 No.4 25-45 46-66 No.4 22.100 No.40 3-18 8-24 No.200 0-10 No.200 7.5 max. 10.0 max.1 Dust Ratio: %max. Sand Equivalent 30 min. %Fracture 75 min. 75 min. fi V Sand Equivalent 40 min. 40 min. J __.............._. Vy` _........._.._.Materials(AMAT) ICON Summary Report Sample Information Sample No 655576787 fro— .—+a Product Id 2379 Product Name 1 1/4"CS BC 90' Specification 9-03.9(3)Crushed Surfacing BC A0- Date Sampled 01/04/2022 11:05 ro- Sampled By James Begley so. Sample Type Process Control e: Sample Method Surge Pile # - 0. i Notes 2022 Submittal ". �� 20- 10�% 55.. is. . . '1"-..... I. . .r ....r rrri1 • r1 '4 B 51, 3.-.4.4..' a 5"rnOpwnm,&mni 210E510*030 2 14 050 7 51 OW 1053015016001 Cu 2154 Cc 157 Gradation Results Quality Results Date Tested Tested By James Begley Sieve %Passing Tolerances Test Result Unit Tolerances 2 1/2"(63mm) 100 SE 73 % 240 AASHTO T176 2"(50mm) 100 Fractured Faces(>1) 98.0 % 275 AASHTO T-335 1 1/4"(31.5mm) 100 99-100 Questionable Faces(>1) 4.1 % AASHTO T-335 1"(25mm) 96 80-100 -#200(75um) 2.0 % 3/4"(19mm) 86 Grad Loss 0.0 % 5/8"(16mm) 77 50-80 Wash Loss(#200/75um) 1.3 % 1/2"(12.5mm) 66 #200/#40 0.23 3/8"(9.5mm) 56 9-03.12(3) Gravel Backfill for Pipe Zone Bedding #4(4.75mm) 37 25-45 Sieve Size Parrot Passing #10(2mm) 25 1%" 99.100r #40(.425mm) 9 3-18 96 Passing No.200 1" 75-100 / #100(.15mm) 3 Dust Rath: %Passing No.40 ' %" 50-100 #200(75pm) 2.0 0-7.5 No.4 20.801 i No.40 3-24 If 9-03.9(3) Crushed Surfacin 1 35 min. r No.uoo 1 Sand Equivalent 35 min. 1 TOO Course and Keystone Sieve Sbe Past 1%" 99-100 1" 80-100 r 9-03.19 Bank Run Gravel for %" 99-10o Trench Backfill Sierai u'" 80-100 2" 75-100 No.4 25-45 r 46-66 r No.4 22 loot r No.40 3-18 r 8-24 No.200 0-10 No.200 7.5 max. 10.0 max. Dust Ratio: t max. r %Fracture 75 min.r 75 min. Sand Equivalent 30 min. r Sand Equivalent 40 min. r 40 min. StonemontQC 01/08/2022 CRH Americas Materials(AMAT) Aggregate Source Approval Report. https://www.wsdot.wa.gov/biz/mats/ASA/ASAReport.efrn?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,T21N R5E County: King Remarks: Mineral Agg.andSurfaring: 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: 10/24/2618 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,QuarriSpalls,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 2 1/31/2022,9:43 AM r— • Aggregate Source Approval Report. https://www.wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A&pi... NOT Approved for: Quarry Spalls Riprap Rock for Erosion and Scour Protection • Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: 10/24/2018 Expiration Date: 10/24/2023 Absorption:1.24 Apparent Sp.G.:2.736 Bulk Sp.G.(SSD):2.68 Bulk Sp.G.:2.647 Deg:72 LA 11 Remarks: Currently Approved for: Streambed Aggregate Gravel Borrow for Structural Earth Wass: Test Date: 10/24/2018 Expiration Date: 10/24/2023 Bulk Sp.G.(SSD):2.68 Deg:72 LA 11 Remarks: For geosynthetic reinforcement,the gravel borrow shall be tested for pH prior to placement:For metallic reinforcement,the gravel borrow shall be tested for pH,resistivity,chlorides,and sulfates prior to placement.If the resistivity of the backfill material equals or exceeds 5,000.ohm-cm,the specified chloride and sulfate limits may be waived.If the aggregate source has variable quality,additional testing may,be required.Contact the Regional Materials Engineer or the State Geotechnical Engineer for direction. Currently Approved for: • Gravel Borrow for Str Earth Walls • ALL OTHER PIT RUN MATERIALS: Project Engineer may request preliminary samples but Aggregate Source Approval is not required. AGGREGATE MATERIALS NOT REQUIRING ASA APPROVAL: Aggregate for Gravel Base 9-03.10 Gravel Backfill for Foundation Class B 9-03.12(1)B Gravel Backfill for Walls 9-03.12(2) Gravel Backfill for Pipe Zone Bedding 9-03.12(3) Gravel Backfill for Drains 9-03.12(4) Gravel Backfill for Drywells 9-03.12(5) Backfill for Sand Drains 9-03.13 Sand Drainage Blanket 9-03.13(1) Gravel Borrow 9-03.14(1) Select Borrow 9-03.14(2) 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 1/3 I/2022,9:43 AM Washington State ♦/ Department of Transportation Request for Apiproval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 1/26/2022 Section/Title o1 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# 029C 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 Mortar Speedcrete 3 A49-A53 Project Engineer/Representative Y-- Date State Materials Engineer/Representative Date - 1/26/2022 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. T 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 Wthheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 El Contractor Region Operations Engineer ❑Fabncation Inspection Region Materials ❑State Materials Lab-MS 47365 The Euclid Chemical Company SPEED CRETEPM Elk) SINGLE COMPONENT, VERTICAL/OVERHEAD MORTAR EUCLID CHEMICAL WITH CORROSION INHIBITOR DESCRIPTION SPEED CRETE PM is a single-component,polymer-modified,ready-to-use,cement based concrete and masonry repair mortar that requires only potable water for mixing. SPEED CRETE PM is a proprietary formulation of O portland cement, finely graded aggregates and special polymer modifiers used to increase adhesion,strength, and aid in curing. PRIMARY APPLICATIONS c • Repair cf numerous interioriexterior,above/below grade,vertical/overhead structural surfaces without forming FEATURES/BENEFITS -a • Compatible with galvanic anodes • Repairs from featheredge to 3" (7.6 cm) xi • Excellent workability • Develops high strength and tenacious bond • Contains an integral corrosion inhibitor • Excellent resistance to freeze-thaw conditions • After initial set, may be shaved to conform to contours of the surrounding surface TECHNICAL INFORMATION The following are typical values obtained under laboratory conditions. Expect reasonable variation under field conditions. Set Time,ASTM C266,Gilmore Initial Set approx 15 min Flexural Strength psi(MPa)ASTM C78 Final Set approx 40 min 7 Day 650(4.5) Working Time 10 to 15 min 28 Days 1,300(9.0) Compressive Strength psi(MPa)ASTM C109 Shear Bond Strength psi(MPa)ASTM C 882 1 day 2,500 (17.2) 28 Day 2,650(18.3) 7 days 6,500 (44.8) Splitting Tensile Strength psi(MPa)ASTM C496 c 28 days 7,000(48.3) 7 day 450 (3.1) ^ pa 28 day 550 (3.8) Volumetric Resistivity 7,980 ohm-cm Freeze Thaw Resistance ASTM Css6 rn 320 cycles 99.0%RDF PACKAGING SPEED CRETE PM is packaged in 50 lb (22.7 kg) poly-lined bags. SHELF LIFE 1 year in unopened package COVERAGE/YIELD One 50 lb (22.7 kg) bag yields approximately 0.5 ft3(0.014 m3). DIRECTIONS FOR USE Surface Preparation: Concrete surfaces must be structurally sound,free of loose or deteriorated concrete and o,, free of dust,dirt,paint,efflorescence,oil and all other contaminants. Mechanically abrade the surface to achieve o Pzi a surface profile equal to CSP 6-8 in accordance with ICRI Guideline 310.2. Properly clean profiled area. cu o o73 Priming &Bonding (Saw Cut&Chipped Out Repairs): Thoroughly clean any exposed reinforcing steel, and D apply DURALPREP A.C.to the concrete and the reinforcing steel within the repair area.Refer to the DURALPREP -, A.G.technical data sheet for full instructions.Alternatively,application of EUCOWELD 2.0 to a dry substrate or a it scrub coat of SPEED CRETE PM 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. Priming & Bonding (Vertical &Overhead Skim Coats/Toppings): Apply EUCOWELD 2.0 to a dry substrate or a scrub coat of SPEED CRETE PM to the saturated surface dry (SSD) concrete surface. The repair material must be placed on the scrub coat before the scrub coat dries out. 19215 Redwood Road • Cleveland, OH 44110 www.euclidchemical.com 800-321-7628 t • 216-531-9596 f Mixing: SPEED CRETE PM will require approximately 4.0 to 4.25 qt (3.8 to 4.0L) of potable water per 50 lb bag (22.7 kg) to achieve the proper mix consistency. Pour the measured amount of water into a clean mixing container,slowly add the SPEED CRETE PM,and thoroughly mix for 2 to 3 minutes to a stiff,no slump,putty-like consistency. Use a rotary mixer with rubber tip blades for mixing quantities up to 100 lb (45.4 kg). Application: Apply a scrub coat of neat mortar to the prepared SSD substrate. Before the scrub coat dries, apply SPEED CRETE PM. To ensure complete bond with the entire surface,force the SPEED CRETE PM firmly into the repair area by hand or with a trowel. Place the SPEED CRETE PM so that the material conforms to the contours of the surrounding surface. Always finish the SPEED CRETE PM toward the common bonding edge between the repair material and the existing surface. For repairs deeper than 3" (7.6cm) apply in multiple lifts. Score surface between lifts. Cure material using standard curing practices. Curing: Follow standard ACI guidelines for curing. In case of high temperature, high wind, or low humidity causing rapid surface drying, use wet burlap/plastic or a water-based curing compound. CLEAN-UP Clean application tools and mixing equipment with water immediately following use. PRECAUTIONS/LIMITATIONS • Use only potable water with SPEED CRETE PM. • Do not re-temper or add sand to SPEED CRETE PM. • Do not over-work or over-trowel the repair material. • Do not apply at temperatures below 45°F(7°C). • When necessary, follow the recommendations in ACI 305R "Guide to Hot Weather Concreting" or ACI 306R "Guide to Cold Weather Concreting". • In all cases, consult the Safety Data Sheet before use. Rev.07.20 WARRANTY:The Euclid Chemical Company('Euclid')solely and expressly warrants that its products shall be free from defects in materials and wou,warship for one(11 year'rpm the date of purchase.Unless autnonzed in writing by ar officer of Euclid no other representations or statements made by Euclid or its representatoes,in wr:Gng or orally.shall alter the warranty.EUCLID MAKES NO WARRANTIES IMPLIED OR OTHERWISE. AS TO THE MERCHANTABILITY OR FITNESS OOR ORDINARY OR PARTICULAR PURPOSES OF ITS PRODUCTS AND EXCLUDES THE SAME.It any Euclid product tads to conform wale this warranty Euclid wall replace the product at no cost to Buyer.Replacement of any prcduct shall be the sole and exclusive rernecy available and buyer shall nave no clam for incidental or consequential camages.Any warranty claim must oe made within one(I)year from the date 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 instructors on its product denature or on its packaging labels.Any installation of Euclid products whicn tads to conform wale such rstaliation information or instructions shall void this warranty.Product demonstrations,1 any are done for illustrative purposes only and do not constitute a warranty or warranty alteration of any kind.Buyer shall be soley resporsible for detennw:ng the sutabdity of Euclid s products for the Buyer s intended purposes Qualified Product List https://wsdot.wa.gov/biz/mats/QPL/QPLPrint.cfm?Product_no=201700'. Washinuton State January 26,2022 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Euclid Chemical Co. - Cleveland, OH Product Name: Speed Crete PM Standard Spec : 9-20.4(3), Mortar Type 2 for Masonry Applications Product Description : Mortar for Masonry Applications Product Restriction : Acceptance Code : 3113 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL and conforms to the Standard Specification blending ratio. Last Updated : Mar 25, 2017 To be completed by the field inspector: Quantity: Verified By: Date: I of l l'26/2022,2:24 PM Ank IVWashington State Department of'Transportation Request for Approval of Material Contract Number FA Number SR Date CAG 20-065 N/A DUVALL AVE NE 01/06/2022 'Section/Title of Project County DUVALL AVE NE KING Contractor Subcontractor REED TRUCKING&EXCAVATING,INC This form shall be completed prior to submittal. If this form is not compete at time of submittal it may For WSDOT Use Only be returned for information that was omitted. RAM# 029B PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL 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 SPEEDCRETEIREDLINE EUCLID CHEMICAL Std. Plan- 10 L - 310.1 _ A43-A48, B6-B8, ETHAFOAM SHEETS ULINE S.P. 7-04.2 3 B17 and B18 Project Engineer/Representative r Date State Materials Engineer/Representative Date -K — 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 El Region Operations Engineer El Fabrication Inspection ❑Region Materials El State Materials Lab-MS 47365 A307 All Thread Rod.Galvanized BID ITEM B17 FOR HYDRANT RUNS (he AS1 M A3i7 specification covers carrion steel Dolts and studs ranging from 114'through 4'diameter.A307 is an economical low carton matenai often manufactured using A36 round bar Dimensional specifications 0°°°°1 are governed by ASME B18.31.3 A307 all thread rod is available in hot dip galvanized finish which provides a cortosion resistant zinc coating.The all thread rod listed on this page is domestic.melted and rnarufactured to the USAEt Et PRODUCTS GOVERNING STANDARDS MECHANICAL PROPERTIES CHEMICAL PROPERTIES GOVERNING SiANGAiili:, ;Pad:Aare SUBMITTAL REVIEW No G,apo'u Takao Matte Carauvr Noted Amend S Reo,ben A3TN A3o7 Covers'he RKtbanral non material requdements Por•neh series fameners s1 diameters Rom X Roiecled-See Remelt., I'A'through 1'male or carbon steel nano a minimum erode Saergtn or60 Odd psi IMPORt ANT NOTICE 1hs"rvww duo not . YZ f'Y . Met.the Coneaian tent msdo.10010ts to comps$vsrk rr, SSW R1t31.3 Covers me genera aria almenslYN data to not series wedded IDS a COR-TEN Steel It.Rods aer 4 Win it.Rani.spaticaann and ♦. COR Std.Plan-11e.1 C4nrra W erw'I- '' fieb AWE al 1 UNC& hyiel'es the dread form seres class aeor.ance.tolerance. n and dgnatbn 1d larded strew \ , A A A A�A�/ 7 UNF Class ZA dreads Dr ORS Uelo I0ll O}f RlamNar 4' Thread PIMAt 3, A307 All Thread Rod,Galvanized o'l The Euclid Chemical Company SPEED CRETE RED LINE Et) RAPID SETTING REPAIR MATERIAL EUCLID CHEMICAL m 70 DESCRIPTION SPEED CRETE RED LINE is a rapid-setting,cement-based concrete and masonry repair mortar.SPEED CRETE O RED LINE is a proprietary formulation of blended portland cements,finely processed selected aggregates,and specific chemical additives that undergo a chemical"hyper hydration"and produces a stable, low permeability, cementitious matrix.SPEED CRETE RED LINE can be"shaved"for detailed repairs. D v PRIMARY APPLICATIONS rrnn • Interior and exterior5.2 • 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 r— Set Time,ASTM C266 were removed from molds @ 24 hours) Initial 8 20 Min 28 Day -0.069% m Final 15-30 Min Expansion 100% RH ASTM C157(3"x3"x11"specimens Split Tensile Strength,psi (MPa) ASTM Cass 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 4 PACKAGING o SPEED CRETE RED LINE is packaged in 50 lb(22.7 kg) poly-lined bags,and 50 lb (22.7 kg) pails o oo v $ 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 t 9 o r 7 " rrACI 306R "Guide to Cold Weather Concreting". J'' A� GY,G`v • 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 T— 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. C3rny&Osbome,In—. CONSULTING ENGINEERS Rev.03.19 By* DRS Date 1/11/2022 WARRANTY:The Euclid Chemical Company("Euclid)solely and expressly warrants that its products shall be free from defects in materials and workmanship for one(1)year Iron-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 biter the warranty.EUCLID 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 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 remecy available and buyer shall nave no clam for incidental or consequential damages.Any warranty claim must oe made within one(I)year from the date of the caromed 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 irrstaliat:on of Euclid products which'ails to conform with such:rstallation information or instructions shall void this warranty.product demonstrations,I 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 detennmmg'he 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 8z Deborrae•Im. CONSULTING ENGINEERS By: DRS Date: 1/20/22 CHICAGO •ATLANTA • DALLAS • LOS ANGELES -MINNEAPOLIS • NYC/PHILA • RENO • SEATTLE • MEXICO • CANADA Ali. � Washington State -f/ 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 1 Tile 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. TRAM i 059&061 PE Use Bid Item Material or Name and Location of Fabricator, Spec iicafon PEIQPL Hdgtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code q35, CSTC. Black River Quarry 4-04 10 V144-52, 86-89 Project Engineer/Representative . -% Date State Materials Engineer/Representative Date -- ` 4-{_ 12116/2021 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 D 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. To: Approval Withheld: Per ASA Report, source not approved for CSTC Miscellaneous Acceptance Criteria. c) Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 0 Contractor 0 Region Operations Engineer El Fabrication Inspection 0 Region Materials 0 State Materials Lab-MS 47365 • • WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling, Black River Aggregate Source-A-516) Lessee: Known as: Kangley Rock&Recycling, Black River Located in: T23N, RANGE4E,SECTIONI4 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: CGAAbsorption: 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)B Gravel Backfill for Walls 9-03.12(2) Gravel Backfill for Pipe Zone Bedding 9-03.12(3) Gravel Backfill for Drains 9-03.12(4) Gravel Backfill for Drywalls 9-03.12(5) Backfill for Sand Drains 9-03.13 Sand Drainage Blanket 9-03.13(1) Gravel Borrow 9-03.14(1) Select Borrow 9-03.14(2) Common Borrow 9-03.14(3) Native Material for Trench Backfill 9-03.15 Foundation Material Class A and B 9-03.17 Foundation Material Class C 9-03.18 Bank Run Gravel for Trench Backfill 9-03.19 Commercial Concrete Aggregate 6-02.3(2)B PROJECT: Internal Testing DATE: 12/9/2021 LOCATION:Black River--Quarry SAMPLE SOURCE:A-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 sicvos may be reduced to 6 and 0,respectively,if the aggregate is to be used in air-entrained concrete containing more than 400 lb cf cement per cubic yard or in nonair-entrained concrete containing more than 500 lb of cement per cubic yard(C 33-6.2) Washington State I / 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# 060 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEJQPL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A35 CSTC Kangley Rock & Recycling 4-04 1, 2, A44-52, 1175, B6-B9 ASA Project Engineer/Representative - T(---c Date State Materials Engineer/Representative Date '- `)-.,'L__. 12/20/2021 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. 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). Remarks rks Provide Scale Cert. and Daily Scalernan's Reports. Delivery Ticket shall show bid item number and description. DOT Form 350-071 Project Engineer Distribution Revised 0312021 )_a Contractor 0 Region Operations Engineer 0 Fabrication Inspection ❑Region Materials ❑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 1 G) 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 J 100 • 1/2" 0.3. 3 98 4 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 NI 0 10 PAN 10.0 100 • 0 WET SAMPLE: . TOTAL-MOISTURE: -" 3.8% --_ - DRY SAMPLE: 10.0. S.E.: 62% 4 FM: .1.20 FRACTURE % 95% `I 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 nonair-entrained concrete containing more than 500 ib of cement per cubic yard(C 33 6.2) 0 WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling, Black River Aggregate Source: RS-A-511 Lessee: Known as: Kangley Rock&Recycling,Black River Located in: T23N, RANGE4E,SECTION14 Section 14 T23N R4E Country: King Remarks: Tier 1 & 2 Recycled Concrete Aggregates (RCA). Acceptance is based on Toxicity Test Report & Certification of Toxicity Characteristics per 9-03.21(1) & Field Testing for Grading, Sand . Equivalency and/or Dust Ratio per 3-04 &9-03.See QPL for further info. Mineral Agg.and Surfacing: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: Remarks: NOT approved as an aggregate source for: ATB Ballast BST Crushed Cover Stone BST Crushed Screenings Crushed Surfacing Base Course Crushed Surfacing Key Stone Crushed Surfacing Top Course Gravel Backfill for Foundation Class A HMA Other Courses HMA Wearing Course Maintenance Rock Permeable Ballast • Aggregates for Concrete: Test Date: Expiration Date: ASR-14 Day: ASR-One Year: CCA Absorption: CCA Sp.G: Deg: FCA Absorption: FCA Organics: FCA Sp.G: LA: Remarks: NOT approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Riprap,Quarry 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 Spalis Riprap Rock for Erosion and Scour Protection Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: Remarks: • NOT Approved for: Streambed Aggregate Streambed Aggregate Gravel Borrow for Structural Earth Walls: Test Date: Expiration Date: Bulk Sp.G.(SSD): Deg: LA: - NOT Approved for: Gravel Borrow for Str Earth Walls ALL OTHER-PIT-RUN-MATERIALS: Project Engineer may request preliminary samples but Aggregate Source Approval is not required. AGGREGATE MATERIALS NOT REQUIRING ASA APPROVAL: Aggregate for Gravel Base 9-03.10 Gravel Backfill for Foundation Class B 9-03.12(1)B Gravel Backfill for Walls 9-03.12(2) Gravel Backfill for Pipe Zone Bedding 9-03.12(3) Gravel Backfill for Drains 9-03.12(4) Gravel Backfill for Drywalls 9-03.12(5) Backfill for Sand Drains 9-03.13 Sand Drainage Blanket 9-03.13(1) Gravel Borrow 9-03.14(1) Select Borrow 9-03.14(2) Common Borrow 9-03.14(3) Native Material for Trench Backfill 9-03.15 Foundation Material Class A and B 9-03.17 Foundation Material Class C 9-03.18 Bank Run Gravel for Trench Backfill 9-03.19 Commercial Concrete Aggregate 6-02.3(2)8 ,WSDU -Materials Laboratory naps://www.wsuot.wa.gow01Z/UM yr law rLrlvuiuiLI.,ltti:rtuuuA.L u... • Mb. Washington State • � r Department of lYansportation 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 C � 1 OmWashington State Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 Section ITitie 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 A35,4A344E, . _ 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 1/3/2022 . } Acceptance Action Codes for use by Project Engineer and State Materials Laboratory OAcceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated Into • { project. OAcceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use.of material. 3. Acceptance Criteria:.Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance.Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. ()Approval Withheld: Reclamation facility, must be on the QPL as a Tier 2 facility,per WSDOT 9-03.21(1)C. 11. Miscellaneous Acceptance Criteria. See below QPL pages,Squak Mnt out of Issaquah is not Remarks currently an approved facility. (PE): Remarks Remarks: (HQ): Prior to use, provide toxicity testing and certification of toxicity characteristics in. accordance with Section 9-03.21(1). Provide Scale Cert. and Daily Scaleman's Reports. Delivery Ticket shall show bid item number and description. DOT Form 350-071 Protect Engineer Distribution Revised 03/2021 El 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/QPLProduct§Grid:ctr" � Washington State VI/ Department at Transportation Qualified Products List Standard Specification: 9-03.21(1)C Product Name I Spec Title f Manufacturer _ Tier 1 and Tier 2 - Recycled i Recycled Concrete i Central Pre-Mix (An Oldcastle Infrastructure Concrete Aggregate (RS-C-343) !Aggregate I Company), Spokane Valley-WA Tier 1 and Tier 3 - Recycled I Recycled Concrete Tucci and Sons, Lakewood-WA Concrete Aggregate (RS-B-352) Aggregate , Tier 1 and Tier 2 - Recycled ! Recycled Concrete Kangley Rock & Recycling, Black River, Concrete Aggregate (RS-A-516) [Aggregate j Renton-WA Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-F-211) Aggregate Cowden Gravel & Ready Mix, Bellingham-WA1 1 Tier 1 - Recycled Concrete I Recycled Concrete American Rock Products, Richland-WA !Aggregate (RS-R-189) ,Aggregate � !Tier 1 - Recycled Concrete I Recycled Concrete American Rock Products, Pasco-WA I Aggregate (RS-FN-121) f Aggregate Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-O-146) Aggregate American Rock Products, Walla Walla-WA i Tier 1 and Tier 3 - Recycled Recycled Concrete Pro-Recycle, LLC, Spokane Valley-WA ! ;Concrete Aggregate (RS-C-345) Aggregate 1 Tier 1 - Recycled Concrete 1 Recycled Concrete Holroyd Green Products Plant, Tacoma-WA Aggregate (RS-B-351) I Aggregate I __ Tier 1 - Recycled Concrete I Recycled Concrete a19 Renton Concrete Recyclers, Renton-WA AggregteRS=A-519) j A ggrega (_ . - --- -- - te Tier 1 - Recycled Concrete I Recycled Concrete Blake Sand & Gravel, Sequim-WA Aggregate (RS-Q-241) __Aggregate __ ___ _ _ I Tier 1 - Recycled Concrete I Recycled Concrete I Aggregate_(RS-B-350)) - -_ -�Aggregate Dickson Company, Tacoma-WA ( Tier 1 - Recycled Concrete I Recycled Concrete 1 Aggregate (RS-D-359) Aggregate I Lenz Enterprises, Inc., Stanwood-WA Tier 1 - Recycled Concrete Recycled Concrete Corliss Resources, Inc., Puyallup-WA .Aggregate (RS-B-349) ,Aggregate - 1 Tier 1 - Recycled Concrete 'Recycled Concrete Corliss Resources, Inc., Enumclaw-WA Aggregate RS-n-518) Aggregate _____I Tier 1 - Recycled Concrete Recycled Concrete Action Materials, Inc., Spokane-WA Aggregate (RS-C-344) _ j Aggregate Tier 1 and Tier 3 - Recycled , Recycled Concrete j Concrete Aggregate RS-D-360 Aggregate Fruhling Sand &Topsoil, Bothell-WA ( ) ; Tier 1 - Recycled Concrete 1 Recycled Concrete --. Aggregate (RS-OR-90) Aggregate I.V. Riley, Bingden-WA Tier 1 and Tier 2 - Recycled Recycled Concrete Concrete Aggregate (RS-S-312) !Aggregate J Stampede Sand & Gravel LLC, Easton-WA Tier 1 and Tier 3 - Recycled Recycled Concrete Miles Resources - Lakeview, Lakewood-WA l Concrete Aggregate (RS-B-353) Aggregate _____i_ Tier 1 and Tier 3 - Recycled I Recycled Concrete j 1 Reece Construction Company, Arlington-WA Concrete Aggregate (RS-D-361) Aggregate _ • 1 of 2 12/29/2021,8:45 AN rWSDOT-Materials Laboratory Qualified Products List(QPL) https://wsdotwa.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 I Recycled Concrete Girard Resources &Recycling LLC, Concrete Aggregate (RS-D-358) ;Aggregate Snohomish-WA Tier 1 and Tier 2 - Recycled I 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 Iglack 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 (,/l' \ PO Box 2377 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 °k 100-100 1/2"(12.5mm) 89.4 % 80-100 #4(4.75mm) 49.7 °4 46-66 #40(0.425mm) 13.3 °k 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 for Trench Backfill Sieve Size Percent Passing 99-100 4i' �' ,1 i Sieve Size 1 Percent 1" 75-100 I 7 - 50-100 J No.4 22-100 No.4 20 80 i No.200 0-10 No.40 3-24 i Dust Ratio: '4 max.J 1 No.200 Sand Equivalent .I10_fl max 35 min. st I Sand Equivalent 30 min. StonemontQC 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# 026 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/CPL Hdgtr,IQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A50 2 Rev Olympic Foundry Inc L20xocki4ng Frame 7-05 3 pP rolect ngineer Date j��Z� State Materials Engineer/Representative Date c p on Codes for use by Project Engineer and State Materials Laboratory 1. `AAccep nce Criteria: Acceptance based upon"Satisfactory'Test Report for samples of materials to be incorporated into proj 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 ®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 (HO): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 In Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials El State Materials Lab-MS 47365 r BID ITEM A49. A50. A51 Frame and Grate shall have rust protection coating 7/8 -1 6/r 191I. 41/2' ..r1/8' 15/8" L/� -7 Zz' -I I-21/2' 15/a' 3/4. _ n SLOT DEIA8. - 3/4' 1 22 1/r [ ,1L4__ --1 - 24 1/4' 2e 2' 29 1/4" I J -1 i_1/2' --6/8' FRAME SLOT FORMED ANRI RECESSED FOR 5/8"-11 NC.Y SOCKET HEAD(ALLEN HEAD)CAP SCREW. 15/9'(TOLEAANOE-+O".-1/19') r rALTERNATE L'jQ 11 I i 1 3/9" p, �` 6� 111 SUBMITTAL REVIEW T T I No Exceptions Taken zo X Make Corrections Noted _ _ _ _ m a Amend &Resubmit ^C:Z. CC 4 Rejected-See Remarks IMPORTANT NOTICE:This review 1 5/8' 24' 15/9'(TOLERANCE.+cr.-,/151 does not relieve the Contractor from / -i r-11/4' / responsibility to comply&conform ( 1/8"R. r 1 5/8' with the Plans, Specifications, and ye - v2,) 5/1!'�R R. I 21/4• j , Contract Documents. 2 3/4" / ___i_ PARTING UNE -z 3/4" VANE DETAIL Cina►Y ISC Osborne,Inc. CONSULTING ENGINEERS By:MB Date: 9/15/21 NOTES: WSDOTSTDB2B OLYMPIC FOUNDRY INC. 20"X 24"REVERSIBLE LOCKING FRAME&VANED GRATE MAIL:Frame;Cast Iron ASTM A48 CL30.Grate;Ductile Iron ASTM A536 CL8055- RATING: H-20 PART NO. SM6OV D/T 06 APPROX WT:Frame 160 Lbs,Grate 104 Lbs REV:A DATE:7/3/2003 New border REV TOLERANCE A DOCUMENT APPROVED DWN:CL DATE:7/3/2003 REV: DATE: xx.-1 BY: DATE: 9001,._05 CHKD:CL DATE:7/3/2003 +_030 DWG#:SM60 VANED DT SCALE:N/A SHEET:1 OF 1 xxxx<.-2 DEG Enaineer Addition Washington State NW Department of Transportation Qualified Product List Product Information Manufacturer : Olympic Foundry, Inc., Seattle - WA Product Name : Metal Castings for Catch Basins and Inlets Standard Spec : 9-05.15(2), Drainage Structures - Metal Frame, Grate and Solid Metal Cover for Catch Basins or Inlets Product Description : Manufacturer of frame, grate and solid metal cover for catch basins or inlets; See Std Plan B-25.20, B-30.10; B-30.20, B-30.30, B-30.40 and B- 30.50 for further details Product Restriction : ceptance Code : 514 Co Description : A eptance is based on field verification of the 'WSDOT - A' impres d into the c ting (A is an alpha fabrication inspectors' identification). Document, " the " spectors' IDR, the fabrication stamp information identifying the inspectors' let and quantity and either'F' or'D'for foreign or domestic steel and/or iron or not rke If the Contract contains a Buy America clause and the material is marked F not at a the PEO is responsible for acquiring a Certificate of Material Origin f m the Contras Note 7 . he Pr ect Office will need to forward a copy of the completed QPL page to the Fabricat Inspection Office for notification as soon as this material is approved for use. Last dated : Sep 13, 2010 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 Washington State ir1 Department of Transportation Request for Approval of f 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. _ RAMS 01.5 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL HdgtrAIPL HQ Use No. Product/Type --_ Manufacturer or Pit Number _ , Reference _Code Code _'- '-- - .7-05- . - See RAM 014 A50 Type 1 Riser Shope 7-05 3 A50 Type 1 Basin Shope 7-05 3 project Engineer/Rpresetttative Date State Materials Engineer/Representative Date .1p`pC4eptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Accepptarj Criteria: Acceptance based upon'Satisfactory"Test Report for samples of materials to be incorporated into Prole 2. Acceptance Criteria: Mfg.Cert.of Compliance for`Acceptance'prior to use of material. ,'Q.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. 1 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Provide Frame & Grate Submittal Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 0312021 ❑Contractor ❑Region Operations Engineer ❑Fabrication Inspection 0 Region Materiels ❑State Materials Lab-MS 47365 60 Catch Basin Products Concreteshpe d Curb Inlet Typ- 6 Reinforce .g WSDOT B-25. 0-02 ■ ASTM A-:15 • All compo -nts • #3 grade 60 r•'nforcing bar °e04 00 aeo 6 Inch Riser ��� ■ 300 Ibs See RAM 014 12 Inch Riser • 6001bs 34" *.4 30" 24" ,` Precast Base ■ Base unit has four-way knock outs pro ided for 6" RISER pipe entry ■ 11001bs . 1111* • 11 inch hole on each side for . handling Conformity Standards • Washington State APWA/WSDOT Standard Specifications 30" • WSDOT B-25.60-02 20". 0 • 12" RISER 41111SO"--„ A34"26" * 30° 411 0 !� 4' .te:drawings not to scale Shope Concrete,LLC (253)848-1551 1618 East Main Avenue Fax Line 1(253)845-0292 1-800-422-7560[TOLL FREE] �conc•o u Qp,m,ae Puyallup,WA 98372-3142 Fax Line 2(253)864-6172 www.shopeconcrete.com catch basin products WSDOT Catch Basin Risers Type 1 34" 30' 1" 24" 20" 34" 30" 24 20" 6" 34" 30" - v// 24" 20" 2 �\\ I /// \.1./ t ♦ 30" -.� ,- 34' 24" Illtipo:" �\\ v /// \ �// 0 40, \ 12" l 30" 2� /' 24" 20" 0 Y 4" I '01\ I / \ I / \y/ N v / SUBMITTAL REVIEW 34" * 30" 24" 20" X No Exceptions Taken 34" *0030" Make Corrections • -d 24., zo' Amend &Res . it 0 I Rejected-See Re - 0 ,� 0 24" IMPORTANT NOTICE:T is re : 0 24" ,- does not relieve the Con 1 :ctor from responsibility to comply& onform Y with the Plans,Specificati ns, and It. Contract Documents. ��,�� I 17"KNOCKOUT ALL FOUR SIDES \ I // may/ Gray ez Osborne, Inc. '' / CONSULTING ENGINEERS y// By: TLS Date: 9/7/21 Note:drawings not to scale S h n Q Shope Enterprises,Inc. (253)848-1551 1-800-422-7560[FREE CALL—North America] WI 1618 East Main Avenue Fax Line 1(253)845 0292 www.shopeconcrete.com concrete products Puyallup,WA 98372-3142 Fax Line 2(253)864-6172 , Bestfltt Specialized Products for Precasters Shope Concrete 1618 E. Main Ave Puyallup, WA 98372 January 1, 2021 CERTIFICATE OF COMPLIANCE This is to certify that the HCC GASKETS manufactured by BestFitt Products LLC., Puyallup, Washington, meet or exceed the Specification requirements of ASTM C 361 and ASTM C 443 for standard rubber gaskets, ASTM C 1619, Class A and C for rubber gaskets, CSA A257.3-03, and AASHTO M-198, Type A for rubber gaskets. Gasket Specifications: 48"MH Gaskets,138.5" mcl, 997 cc 54"MH Gaskets,176" mcl 1267 cc 60"MH Gaskets, 193.0" mcl 1389 cc 72"MH Gaskets, 211" mcl 1579 cc 84"MH Gaskets,1.0625 Dia, 218.0" mcl, 3167 cc 96"MH Gaskets, 275.1" mcl, 2338 cc This certification does not guarantee any field application or testing performance criteria. These criteria are controlled by product dimensions and tolerances, as well as field installation conditions and techniques,which are outside of the control of the manufacturer. Sincerely, BestFitt Products LLC ' -14elf--- Jack Curry General Manager 46 Catch Basins shQpe Type 1 Concreteducts Reinforcing • ASTM/WSDOT requirements • All components • #3 grade 60 reinforcing a0 , :DI) Riser Riser Weights ` �_.- ■ 2-inch/100 Ibs Q ■ 4-inch/200 lbs ■ 6-inch/300 Ibs • 12-inch/600 Ibs • 24-inch/1200 Ibs 30" Precast Base •24" 20" • Base unit has four-way knock outs provided for pipe entry 2",4",6" • 2150 lbs Conformity Standards • Washington State APWA/WSDOT Standard Specifications ■ WSDOT B-5.20:03 34" 30" 24" 20" 0 ' 12"or 24" Type I Profile View 2" SUBMITTAL REVIEW 742;0',... ♦ /�30• 0 o x 22" 1 No Exceptions Tak • Make Correction$' l• • ' 20" Amend &Resubmi� • Rejected-See Remits 0 ____„ \\,..„..... _...../// - IMPORTANT NOTICE:T•is re44" does not relieve the Con I a. •4".. responsibility to comply 8.Iconf21" with the Plans, Specificatlpns, :n • \,.._____. ) Contract Documents. 4" .. -.l 4.,.- I Gray&Osborne, IYLC: 44' CONSULTING ENGINEERS Note:drawings not to scale By: TLS Date: 9 21 Ss I ape 16ope18 Main LC Fax ne 1 1551 (253 1618 East Main Avenue Fax Line 1(253)845-0292 1-800-422-7560[TOLL FREE] Puyallup,WA 98372-3142 Fax Line 2(253)864-6172 www.shopeconcrete.com Engineer Addition � Washington State VI/ Department of Transportation Qualified Product List Product Information Manufacturer : Shope Concrete Products, Puyallup - WA Product Name : Precast Concrete Catch Basins Standard Spec : 9-05.50(3), Precast Concrete Catch Basins Product Description : Manufacturers of precast concrete catch basins and risers; for assistance, see Std Plan B-5.20, B-5.40, B-5.60, B-10.20, B-10.40, B-10.60 and B- 30.90 for further details. Product Restriction : ceptance Code : 5120 Co. - 'escription : Acceptance is based on field - ification of'W.S.D.O.T. INSPECT :' tamp. Document, in the field in =-ctors' IDR, the fabrication inspectors' initial, quantity - either'F' or'D' for fo -.gn or domestic steel and/or iron or not marked. Concrete A. tment Sectio. ess than 12 inches - Acceptance shall be Visually in accordance wit -ct.• 9-1.4C. If the Contract contains a Buy America clause and the material is or not at all, the PEO is responsible for acquiring a Certificate of Material e igin from t' ontractor. Note 10 : e Project Office will need to forward a cos if the completed QPL page to the F.• cation Inspection Office for notification as soon as material is approved fo se. ast Updated : Sep 9, 2017 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT v 2016