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Home My WebLink AboutCAG-20-065 - Duvall - A69 - Bark Mulch * Washington State / Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 8/23/2021 _ Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor Green City 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#010 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A69 Wood Chlp Mulch Cedar Grove Compost;Maple Valiry,WA -(3 2.5;SP 9-14.5 8 A35 CSTC Highrock D-309 9-03.9(3) 1 (........„ Project Engineer/Re ntative Date State Materials Engineer/Representative Date A c ce Ac n Codes for us byProject Engineer and State Materials Laboratory Occepta Criteria: Acceptance based upon Satisfactory Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes 0 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. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): • DOT Form 350-071 Project Engineer Distribution Revised 03/2021 El Contractor El Region Operations Engineer El Fabrication Inspection ❑Region Materials 0 State Materials Lab-MS 47365 4111Ib. Washington State WI 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 Green City 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#010 PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr.1QPL HQ Use No. Productfrype Manufacturer or Pit Number Reference Code Code A69 Wood Chip Mulch Cedar Grove Compost;Maple Vallry,WA 8-(3 2.5;SP 9-14.5 8 A35 CSTC Highrock D-309 9-03.9(3) 1 Project Engineer/Representative Date State Materials Engineer/Representative Date Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 0 Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ['Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materials Lab-MS 47365 lV Medium grind Hemlock/Fir mix per Special Provision 8- 02.3(11) rr, Cedar Grove Composting 2021 Letter of Certification Bark Mulch COMPKTUNG 100%NATURAL www.cgcompost.com • 877-764-5748 This letter certifies that the Bark Mulch being used for the job referenced meets the following requirements. Company Name: Green City Job Reference: Duvall Ave NE 1. Cedar Grove Bark Mulch is derived from Douglas fir and Hemlock species. The mulch is screened so that a minimum of 95%will pass 1.5-inch sieve and no more than 55%will pass the%inch sieve. 2. This mulch is supplied by a fresh water mill; uniform in color and is free of sticks, roots, trash and other foreign material. 3. Mulch does not contain tannins, resin or other compounds in quantities detrimental to plant life. Please contact us is you have any questions. Sincerely, Date: 8/13/2021 Kyle Sanders Cedar Grove Composting SUBMITTAL REVIEW 206-617-8736 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. C i ray&Oeborrie, h CONSULTING ENGINEERS By: TLS Date: 8/25/21 Maple Valley-17825 Cedar Grove Rd. SE 98038 Everett-3620 36th PI NE 98201 CADMAN High Rock HEIDELBERGCEMENT Group Compliance Report Sample Information Sample No -1747752367 100♦ • • Product Id 92253 90 Product Name CSTC . Specification 9-03.9.3 Crushed Surfacing TC 90. 70 Date Sampled 12/03/2020 09:57 . Sampled By Mario Necula Sample Type Shipping 5 . Sample Method Belt-Stream 40. Sample Location Highrock D-309 3. 2c- 10- 0 0*ve°peniny(mm) D10(ES)0.12 D30:1.98 0604.91 060:6.40 015I1)65:004 Cu 54.64 C0:3.35 Gradation Results Quality Results Date Tested 12/03/2020 09:57 Tested By Mario Necula Sieve %Passing Tolerances Test Result Unit Tolerances Method 1 1/2"(37.5mm) 100.0 SE J 44 % _>40 AASHTO T176 1"(25mm) 100.0 Grad Loss 0.009 % 3/4"(19mm) •/ 100.0 99-100 Total Moisture 2.11 % 5/8"(16mm) 99.4 1/2"(12.5mm) J 90.0 80-100 3/8"(9.5mm) 78.0 1/4"(6.3mm) /59.3 #4(4.75mm) J 48.7 46-66 #10(2mm) /32.7 #40(.425mm) V/ 14.9 8-24 #200(75pm) V 8.31 0-10 StonemontQC 12/04/2020 Lehigh Materials Ltd. WSDOT MATERIALS LAB 08/25/2021 Aggregate Source Approval Report Owner: Cadman Inc. Aggregate Source: QS-D-309 Lessee: Known as: High Rock Quarry-Quarry Rock Located in: W1/2NW1/4 Section 19 T27N R7E County: Snohomish Remarks: Mineral Agg.and Surfacing: Test Date: 02/25/2019 Expiration Date: 02/25/2024 Absorption:1.61 Apparent Sp.G.:2.781 Bulk Sp.G.(SSD):2.704 Bulk Sp.G.:2.661 Deg:59 LA:18 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: Expiration Date: ASR-14 Day: ASR-One Year: CCAAbsorption: CCA Sp.G: Deg: FCA Absorption: FCA Organics: FCA Sp.G: LA: Remarks: NOT approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Riprap,Quarry Spells,Rock for Rock Wall, Erosion and Scour Protection: Test Date: 06/14/2021 Expiration Date: 06/14/2022 Absorption: 1.36 Apparent Sp.G.:2.808 Bulk Sp.G.(SSD):2.742 Bulk Sp.G.:2.705 Deg:59 LA:17 Remarks: Currently 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: 02/25/2019 Expiration Date: 02/25/2024 Bulk Sp.G.(SSD):2.704 Deg:59 LA:18 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