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HomeMy WebLinkAboutCAG-20-065 - Duvall - A65 - Inlet Protection � Washington State VI/ Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 8/23/2021 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor Northwest Linings & Geotextile Products, 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# 012 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 A65 Inlet Protection Ultra Tech Intemation Inc.Tampa FL 8-01 3101 roiect ngineer, tative Date State Materials Engineer/Representative Date 8z� z1 _ tance Aaron Codes for us/by Project Engineer and State Materials Laboratory 1. Ac p ce 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. 3.) Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material. Catalog Cut Approved ®Yes 0 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. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HO): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ®Contractor El Region Operations Engineer ❑Fabrication Inspection 0 Region Materials El State Materiels Lab-MS 47366 rco Catch Basin Insert Specification 111traiecu Oil & Sediment Model international,Inc',. Ultra-Drain Guards help remove waste from storm water before it becomes a problem in the water system. The material for the catch basin consists of a non-woven polypropylene geotextile. The size dimension is 48" x 36" x 18. PROPERTY TEST METHOD VALUE Grab Tensile D4632 220 lbs Elongation D4632 50% Trapezoid Tear D4533 95 lbs Puncture D6241 525 lbs Mullen burst D3786 420 psi Permittivity D4491 1.5 sec-1 A.O.S D4751 80 US Sieve UV Stability(500hrs) D4355 70 strength retained % Weight(typical) D5261 8 oz/SY Flow(through material) D4491 90 gpm/SF Flow(including bypass) 770 gpm Flow(including bypass 1.7 cfs This product is manufactured in the USA. IWashington State Department of transportation Qualified Product List Product Information Manufacturer : UltraTech International, Inc., Jacksonville - FL Product Name : Ultra-Drain Guard Standard Spec : 8-01.3(9)D, Erosion Control - Below Inlet Grate Product Description : Catch basin and inlet protection for sediment and debris control Product Restriction : Acceptance Code : 3101 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. Note 'Restrictions' when present. Last Updated : Sep 13, 2010 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016