HomeMy WebLinkAboutCAG-20-065 - Duvall - A60 - Filling Pipe With CDF � 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 5/24/2022
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# 094
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
A60 CDF Miles 7-08 2
Project Engineer/Representative Date State Materials Engineer/Representative Date
5/25/2022
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.
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):
Remarks Truck ticket(Mfg. Cert. of Compliance)shall show Cement Mill Test Report#and
(HO): concrete ad-mixture product name and dosage.
DOT Form 350-071 Project Engineer Distribution
Revised 03/2021 ®Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materials Lab-MS 47365
. OFFICE: 253.833.3705
FAX: 253.833.3746
400 Valley Ave NE
MILES Puyallup,WA 98372-2516
SAND & GRAVEL MIX SUBMITTAL
Date Issued : 05/24/2022
Customer: Reed Trucking & Excavating Inc.
Project: Duvall Ave NE - Renton Slump: Fluid max
Mix I.D.: 11CDA15 Design f'c: 100 psi
Specific Batch weight SSD Material
Absorption Gravity Material (lbs) Volume
2.14 2.65 ASTM C-33 Sand 2,770 lbs. 16.75
3.15 ASTM C-595 Type IL (Cement) 141 lbs. 0.72
1.00 ASTM C-1602 Water 300.0 lbs. 4.81
%Air (design) 18.00% 4.86
MasterAir AE-90(Air Ent.) 1-20 oz.
W/C Ratio: 2.13 Density: 118.3 Design Volume: 27.14
Notes: *ASTM C 94(5.6)"The purchaser shall ensure that the manufacturer is provided copies of all reports of
tests performed on concrete samples taken to determine compliance with specification requirements.
Reports shall be provided on a timely basis."
'Miles S&G does not acknowledge test lab data that does not conform completely to ASTM standards.
*Point of placement,for mix conformance,is at the end of the discharge chute of the mixer.
'Miles S&G is not responsible for changes in the mix due to placement methods.
*Concrete placed that exceeds the maximum design slump,is placed at the risk of the contractor and owner.
*When NOT delivered MILES,MILES agrees to batch concrete based on Customer's order. The performance of the concrete
becomes the sole responsibility of the Customer at the time of batching.Customer understands that MILES provides no
representations or warranties,either express or implied,of merchantability,fitness for a specific purpose,or otherwise with
regards to any concrete provided hereunder.Customer hereby knowingly and intentionally releases,indemnifies,and holds
MILES harmless from and against any and all claims,actions,liabilities,and costs for performance,personal injury or property
damage resulting from concrete provided hereunder.
Remarks: CDF
We request copies of all reports for compressive strength,according to ASTM C-94,
for the purpose of monitoring performance of the mix. Sent to: keithmagravelpits.com
Submitted by: Alex Bowman
Miles Sand & Gravel Company
WWW.MILES.ROCKS
OFFICE:253.833.3705
4 FAX:253.833.3746
400 Valley Ave NE
i 1 LES Puyallup,WA 98372-2516
SAND& GRAVEL Concrete Cylinder Report
Concrete Mix ID: 11CDA15 AC!318 Performance Approval
Spec'd Strength: 100 Modification Factor: 0.000
Number of Tests: 4 Standard Deviation: 0
Average Range(PSI): 2 Fcr=Fc+1.34(s): 100
Standard Deviation: 19 Fcr=Fc+2.33(s)-500: .400
Coefficient of Variation,V: 13.5%
Within-Test Std Dev(PSI): 1
Within-Test Coeff.of Var. 1.0% Average 0.74 0.2% 2 2 90 110
Batch-to-Batch Std Dev(PSI): 19 Mac: 6.50 5.1% 62 60 120 1-10
Batch-to-Batch Coeff of Var. 13.5% Min: 0.00 0.0% 0 0 60 100
Date Slump Air CT AT 7 Day 28 Day
I 3.25 120 140
1 6.50 80 100
3 6.50 90 110
4 06/06/18 6.00 5.1% 62 60 60 100
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Miles Sand & Gravel Company
WWW.MILES.ROCKS