The URL can be used to link to this page

Home My WebLink AboutCAG-20-065 - Duvall - A70 - Synthetic Turf Washington State �/ Department of Transportation Request for Approval of Material Contract Number FA Number SR Date CAC;20-065 NA I Duvall Ave NE 8.`31'2021 Section/Title of Project County Duvall Ave NE King Contractor Subcontractor Reed Trucking&Excavating,lnc. Green City This form shall be completed prior to submittal. If this form is not complete at time of For WSDOT Use Only submittal it may be returned for information that was omitted. For assistance in completing, see Instructions and Example RAM # 044 Bid Material or Name and Location of Fabricator. Specification PE/QPL Hdgtr./QPL Item No. Product/Type Manufacturer or Pit Number Reference Code Code A70 Synthetic Turf -NW Pro HD Fowler Co. 8-02.3(17) 3 1Plush Bellevue, WA Project Engineer ` !Date State Materials Engineer Date 10/14/2021 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. 0 :ptance Criteria: Catalog Cuts for'Acceptance'prior to use of material. Catalog Cut Approved lJ 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. 8.Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation, 10. Approval Withheld: 11_Miscellaneous Acceptance Criteria. Remarks- Please also provide a submittal for infill, nails, and weed fabric per Synthetic Turf Section detail on LS8 Project Engineer Distribution State Materials Engineer Distnbution 1 Contractor ❑Region Materials ❑ General File ❑ Signing 'nspection ❑ Region Operations Engineer 0 State Materials Lab 0 Other ❑Fabrication Inspection MIS 47365 --------------- -- DOT Form 350.071 Revised 1212012 NORTHWEST SUBMITTAL REVIEW V� Aid, r PRO PLUSH X No Exceptions Taken iMake Corrections Noted UCT SPECIFICATIONS Amend & Resubmit ` Rejected-See Remarks IMPORTANT NOTICE: This review does not relieve contractor from his responsibility to comply&conform with the Plans, Specification, and Contract Documents. 415/0 Grey SE Osborne, Inc. • CONSULTING ENGINEERS By; DRS Date 10/1M21 Pile Height: 1 .9" ` Ideal for Landscape • Total Weight: 104 oz Pet Friendly Face Weight: 77 oz Great for Playgrounds Yarn Shape: Wave Blade Backing: Double Polypropylene Layers Antimicrobial Roll Width: 15' / Heat/Frost Resistant Roll Length: 100' •" Traffic Rating: Drain Rate: 80"/hour/yd2 LI Moderate to Heavy 100% Lead Free • Warranty Synthetic Turf Northwest 16330 Maltby Rd Sue* s WoodinvI8.,WA 98072 425-786-0718 I www .tale Adak Am Washington State Fl Department of Transportation Request for.Ap roval of Material Contract Number FA Number NIA SR Duvall Ave NE Date CAG 20-065 _ 9/23/2021 Section ITtIe 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 farm is not compete at time of submittal it may For WSDOT Use Only be returned for'Information that was omitted. RAM# 056 PE Use Bid Item Matariai or Name and Location of Fabricator, Specification PE!QFL HdgtnJQPL HQ Use Na Productflype Manufacturer or Pit Number Reference Code Code A70 CSTC Cadman ,Highrock D;3O9• 8-02 8 I Project EngineerdRepresentative ,, Date 9l28121 State Materials EngineerlRepresentative Date 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.Cent.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved Q 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: 8. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory far Approval ActiOn. Source Approved: ;Vflsual;Acceptance'per.CM 9-1:1k(Rock`and'Aggtiegatit3 for;Landscape.Features) 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HO): DOT Form 3503-071 Project Engineer Distribution Revised 0312021 J Contractor Q Rs on Operations Enginear Fabrication rnmpeotion ❑Revlon Materials ❑Slate Materials Lab-MS 47365 , t•-•, t High Rock , . HEIDELBERGCEMENTGroup Compliance Report . . _ . , . VartPlijinfitiiiiiiti$ii':_,'•- - „, . ,- .' - _ ' I• • Sample No -1747752367 Product Id 92253 . . Product Name CSTC V, 1 : . ' •, Specification 9-03.9.3 Crushed Surfacing TC !,i_:.'.. i !:I_ . . . . _ . Date Sampled 12/03/2020 09:57 , _ _ _ Sampled By Mario Necula i , . , • • -. Sample Type Shipping 0- • ' • , 1 .1 , , Sample Method.Belt-Stream , . Sample Location Highrock D-309 , i za •----, - ---,----L-t---1-.1. 1 ; r 1..; - - -;-; II 't . : t a ' • • Is, IS ORM= ,MI acch•cgt Cat443 0 WM 0.611 CK FAR Gmk.16. ',. ' : 2j1 '' ' , 7 . .. -.:, '' • --. ',::,. -,' 1 A....1.',45,...,,,.,•40. 4...,'NT:- ' . ....i Date Tested 12/03/202009:57 Tested By Mario Necula Sieve %Passing Tolerances Test Result Unit Tolerances Method 1 1/2'(37.5mm), 100.0 SE 4 44 % k40 AASHTO 1176 1"(25mm) 1.100.0 Grad Loss 0.009 % ,3/4"(19mm) 4 100.0 .99-100 Total Moisture 2.11 % 5/8"(16mm) 99.4 1.12'(12.5mm) q 90.0 80-100 318"(9.5mm) 78.0 1/4"(6.3mm) --.59.3 #4(4.75mm) 4 48.7 48-66 #10(2mm) 32.7 #40(.425mm) 4.,'14.9 8-24 #200(75pm) 4 8. 1 o-io StonemontQC 12/0412020 Lehigh Materials Ltd. CI WSDOT MATERIALS LAB 68/292021 Aggregate Source Approval Report Owner: Cadman inc. Aggregate Source: QS D-309 Lessee: •K new n•as: High'Rock Quarry-Quarry Rock Located in: Lrf1/2f+1W114.:Section 18 T27IV'R7E County: Snohomish: Remarks: lrilneral ASg.and.Surfa'dng:• 'rest Date:.02/25/.2019 Eicpiration Date:0.2/25/2024' • Absorption:1.81 Apparent Sp.G.:2.781 Bulk Sp.G:(SSD):2.704' Bulk Sp:G.:2.661- Deg:59 LA:18 rRimarka: Cu►rreritiy;appraved as:a.sotirce 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 Becktiil for Foundation Class A HMA Other Courses' HMA Wearing Course Maintenance Rock Permeable Ballast •Acceptance tests n'e'eri-to be perfvrrtied a's necessary. ,AggregatesiorConcrete: Test.Date: r Expiration.Date: ASR-14 Day: ASR.-One Year: CCAAbsorpt on: CCA Sp.G: beg: FCA Absorption:: FCAOrganics: FCA Sp.G: LA: Remarks:. N OT`approv.,ed•fiir: Coarse Concrete Aggregates Fine Concrete Aggregates Riprap,Quarry►'Spallria,Rocii for Rock"Wall,`Erosion and Scour Protection Test Date::.06%14/2D21,• Expiration :Oatci;061:14/2022 Absorption:1.36 Apparent Sp.G.:2.508 Bulk Sp.G.(SSD):2,742 Bulk Sp,G.:2.705 Deg:59 LA:17 !Remarks:=. 'Currently:Approved;for: Quarry Spells Riprep Rock for Erosion and Scour Protection Rock fcr'Rock Walls Stone 9-27.3(6) •Sireambed•`/tgg ®pates:. ••Test Date: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: LA: `Remarks: JNOfApproved for: Streambed Aggregate StreambedAggregate Gravel Borrow for StrutttrraLEaAli Walls: Test Date:02/2S/2019 :Eicpiration Date:M 2/25/2024.• Bulk Sp.G.(SSD):2.704 Deg:59 LA:18 • Remarks For geosynthetic-r•einforcement,the gravel-borrow sh'all•betested'for pH'prior to,placement. Periretallic reinforcement,..the•gravel borrowshall he•tested:for pH;resistivity;chlorides,and-sulfatesrprior to:placement:If the resistivity of ,the backfill,material'equals or exceeds;5,000,oh'm7cm,thespecified,"ctiloride'and'sulfate limitsmaybe•waived.'If the aggregate source,has;variable quality,;additional testing maybe•required:"Contact-the Regional Materials"Engineer or ttie!State Geotechnical.E•ngineer.for.alredion, •;COrreptty,Approved fdr• 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