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HomeMy WebLinkAboutCAG-20-065 - Duvall - B4 - Select Imported Trench Backfill • • • \o%\'�O\2/\e/\t/\�/�ko/\0/V.Vi2/VOA/\/," \�"/\�1�>'t►`�,V�eI'421\V/V��/VV\C/V V\'?/V1,16. , l _ runrurrunuruirrrrrrrr.uriruterriiJrnrrrfruurfrrnrrruiiiiririiirrrnrrnrirrrrIuuII iiij riruuiruururrrrruurrrurrrnrrufirirurrrriruuiirrrrrrr_ Cam. UNITEC Corporation •• _ •C�., _ UnA4911.1. , e� p 358 Upland Drive • Seattle,Washington. 98188 = C? .1 - = Co; (Lcrtithafr nnnrthin F. e : ) - -:0 E : \a., . = This is to certify that G//2zrJ -c� rz-c. 1 scale(s) • _ �o; 0 E. Located at_,.��Lfi3 /Y/ u1 to �a 1$ /�s /�J'A = Co 1 = was (were) serviced on this 2� day of ThiviA4664 20 2'Z, by an authorized representative of = C • = • the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. = Cam' �i = = Cam.:; U� - = C,. ;'�' A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. - Cam: i ,0 _ _ C _ (206) 575-1100 _ C , ,p' = rrrrlrrl111rrrrrrr U rrrrrrl Fri Nit rrrl IIIIII i 11111111111 i rdrr r r r l r i r r l r l r r l rrlrrl1.rir U ii•rrrrrrr•rr7rrrr rrrrrr lrlrrrrrlrlrrrrrrrrrrllrlrrrrrlirrlrrrrrrrllrrrrrrl rr n n 1 = c.":' 49. rO-r rO.ti s3".r�• 4r0r rg•• � te; O. ...v• O: ,ra.� s/Or :�� rOg sG.a 4�i; ...r0:�areh.iO� OrOrr 4G 0,G;4.J��it 4'0' 'In!..iG.�ip�.0 0 • ANFEST 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 SuitelC AMFEST Services Kirkland, WA 98034 (425) 885-1664 LABOR AT 0 RIES 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 3050B 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 ' F 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 3050E 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 3050B 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 3050B 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 3050E 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 P.7 Am Test Inc. Professional 13600 NE 126th PL Analytical Suite C AlffEST Services Kirkland, WA, 98034 (425) 885-1664 L A B o R A T o R l E s www.amtestlab.corn 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 83.40% 22-A002576 Lead ug/g 11.5 37.0 35.0 72.86% 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 AMrIEST AmTest Chain of Custody Record 13600 NE 126th PL,Suite C, Kirkland,WA 98034 LAPOPIAT• 0111 es Ph(425)885-1664 Fx(425)820-0245 www.amtestlab.com . . . - Chain of Custody No. .-- - Client Name &Address: • - ,-fic:•T Invoice - To: . • . • - -, -• - • • —'-- - • ,•• < •-‘,..-04,••!•,14e.; 11 ,..../,,, ,K,•-,,,/t • - .1( ,• ,...) ,„:t.,,, ... , — - - .1 ! - ,. - --L'Ic..,,,,,,irt'„,.,./ ,04,1,47,,,ill:ti,./':;.1.1 1/11 it" 'C.,.1'‘'-1 ,':;:'. ',,, ") •,1 a,:.•. ,, •• ,.ii, ,..) cif,>,,) ? !- -. ,,,. ., . ,, 1 , •.,t , •ire.1.„(("ex.(, `1,Y-E.'2.-/ i ..1'.I/t-' i CV''t 1(7 ir..'..,,t:1(t va tl .1, /62 4-,"'/ !i'.4.." .if,'. i L'Il t-4,14 f. ..••-.1 L.• 6 4 t ii,, , Contact Person: ;." -N,A ), , ;/- Invoice Contact: jilli{-i 1 k t:: 1,7e:e-a-^ `‘,. .• ,,,•7,..) .- ,:•c ..,.•.!,,,Y,1..if i(. y•',, : Phone No: r','.,.:„, /,4;67/ . <,-,i-(-7 ---, PO Number: Z.:-(1 ?--. -7 i 4" Fax No: Invoice Ph/Fax: E-mail: 7,:iii;I! 1 . i i i ,.,-,. Invoice E-mail: I'l n i .. 7:'' 'f I --19i / E..:: i r L.1!/.,;(:10(t/T,1-•cr.- V J.,./(,..:.!, `k,I v,".: Report Delivery: (Choose all.that.apply) Data posted to online accoLint: YES / NO • Mail / Fax / ' Email.) / Posted Online Web Login ID: Special Instructions: • kequested TAT-: (Rush must be pre-approved by lab) TernTemperature upon Receipt: Standard,-- RUSH ( 5 Day / 3 Day I 48 HR / 24 FIR ) 114.5 Project Name: ,_ .. 7, '.. .Li6.=;•'''l) . (f) Analysis Requested Project Number: aJ a) c -a •72,.-. .— ro E E x 4.> n) Ca It3 C (fl (1) 113 8 w tu E 4_ Client ID .4., ro E o E.) AmTest ID c) 0. (35 characters max) P . cy . • , .1567 i :— 5153, S • (S. 2 • , _ _ —70 Li 77( 5 -71 1 - 114 • 15 collected/Relinquished By: Date Time Received By: Date Time i\-- / <:".,-,— .,.-•"------ ' -,:l'1 Z-1-- 2/ /1vii ----... ',?''75=',4'-- •-•;',....-j>' . . ? 2/7stizz, IfiS , .... -,Relinquished By:By: Date Time Received By: • • Date Time 1 _ Relinquished By: Date Time Received By: Date Time • COMMENTS: P.9 0 V lee vvvVVVVVvv v\0%Vv%vVv lie/vv V41111.Vvv vvV O 1 _r.l1111111111111111111111IJ11111111C1.,j�.11_(.Iilllnn11111111103111111111111fllf,lull111111ilul11111111M1111111111lllulnl111111 Frii.l„ 1WIT`Ilillripl►llurrilll_ Cp" i i --� -u�'�� 358 Upland Dive • SeattleWashington 98188 4 ` . CO i c,- _ _ < 1 = This is to certify that AV�O� ,,II �i v yn-1t- ._�/t,GCrk scale(s) = Co V o? = Located at: (, .,Ant l2 ®t,_.cx zey, 1 v'i _ Co o' = was (were) serviced on tfiis 7,,rtd_ day of157,0CeKtep 20 2( , by an authorized representative of _ Co. the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. off = = Co 1 = A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. = CD: ? = BY: � - ." is 5 Lb C 41 = Co o' _ (206) 575-1100 Co O' = 1111111111 11 IIII 11111111111I11I11111111111f11I111111111111111111111 I II 1 Il lI l lI lII lu 111111111111lr111 I IIIII IIIIIIII lu ll ITlll frl IT 1111111T m= 0 0 Analytical Resources, Incorporated Analytical Chemists and Consultants 15 October 2021 Greg McKinnon Gary Merlin Construction Co Inc 9125 10th Avenue South Seattle,WA 98108 RE:Black River Quarterly Please find enclosed sample receipt documentation and analytical results for samples from the project referenced above. Sample analyses were performed according to ARI's Qmlity Assurance Plan and any provided project specific Quality Assurance Plan.Each analytical section of this report has been approved and reviewed by an analytical peer,the appropriate Laboratory Supervisor or qualified substitute,and a technical reviewer. Should you have any questions or problems,please feel free to contact us at your convenience. Associated Work Order(s) Associated SDG ID(§) 21J0007 N/A I certify that this data package is in compliance with the terms and conditions of the contract,both technically and for completeness,for other than the conditions detailed in the enclose Narrative.ART,an accredited laboratory,certifies that the report results for which ARI is accredited meets all the requirements of the accrediting body.A list of certified analyses,accreditations,and expiration dates is included in this report. Release of the data contained in this hardcopy data package has been authorized by the Laboratory Manager or his/her designee,as verified by the following signature. Analytical Resources,Inc. The results in this report apply to the samples analyzed in accordance with the chain of custody document This analytical report must be reproduced in its entirety. e � Kelly Bottem,Client Services Manager Cert#100006-012 4611 S. 134th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 t, i. Chain of Custody Record &Laboratory Analysis Request ARI Assigned Number: Turn-around Requested: Page: of Analytical Resources,Incorporated a`\000--7 Analytical Chemists and Consultants ARI Clientli Company:(-et / - Phone: 4611 South t 34th Place,Suite 100 ce .f^M,.,j L-etrotz z06-t7S 66S - Date: Present? �J Tukwila,WA98168 206-695-6200 206-695-6201 (fax) Client Contact: �t / L.16,,„n qz5-Z26-i 90C No.le of ek Cooler (K I / www.arilabs.com "�•, �— �,.c� Coolers: Temps: ('� Client Project Name: Analysis Requested Notes/Comments Client Project#: amplhrs: J Sample ID Date Time Matrix No.Containers L tk1 /tEQ I iQ- ; 8: 30 • l3RQ 10. 1 2:30 1F)Q 3 10-I 8 3G -3 eo 4 10.1 ,;0 i3 'o 5 10- I $'30 Comments/Special Instructions RNinquiehed by: Received by, _ Relinquished hy: Received by. (Signature) (5:embr ey (Signature) (Signature) Printed Pry Cr.../ LQ/ \Printed Name. Printed Name'. Componnr' Company Company: company: 5I07)c.J`4 Gmi t7e. Z Date a lime: t Dare a Time: ' Dale d Time: Date a Time /O-t- ?' 1 S ,l0 ./ci�;'7 /. C:' r-/C> Limits of Liability: ARI will perform all requested services in accordance with appropriate methodology following ARI Standard Operating Procedures and the ARI Quality Assurance Program. This program meets standards for the industry. The total liability of ARI,its officers,agents,employees,or successors,arising out of or in connection with the requested services,shall not exceed the Invoiced amount for said services. The acceptance by the client of a proposal for services by ARI release ARI from any liability in excess thereof,not withstanding any provision to the contrary in any contract,purchase order or co- signed agreement between AR(and the Client. Sample Retention Policy: All samples submitted to ARI will be appropriately discarded no sooner than 90 days after receipt or 60 days after submission of hardcopy data,whichever is longer,unless alternate retention schedules have been established by work-order or contract. • 0 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlin Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 ANALYTICAL REPORT FOR SAMPLES Sample ID Laboratory ID Matrix Date Sampled Date Received BRQ 1 21J0007-01 Solid 01-Oct-2021 08:30 O1-Oct-2021 08:40 BRQ 2 21J0007-02 Solid 01-Oct-2021 08:30 O1-Oct-2021 08:40 BRQ 3 21J0007-03 Solid 01-Oct-2021 08:30 O1-Oct-2021 08:40 BRQ 4 21J0007-04 Solid 01-Oct-2021 08:30 01-Oct-2021 08:40 BRQ 5 21J0007-05 Solid 01-Oct-2021 08:30 01-Oct-2021 08:40 461 1 S. 1 34th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlino Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle VvA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 Work Order Case Narrative Total Metals-EPA Method 6010D The sample(s)were digested and analyzed within the recommended holding times. Initial and continuing calibrations were within method requirements. The method blank(s)were clean at the reporting limits. The blank spike(BS/LCS)percent recoveries were within control limits. The matrix spike(MS)percent recoveries and the duplicate(DUP) relative percent difference(RPD)were within advisory control limits. 4611 S. 134th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206)695-6200 • Fax:(206) 695-6202 Oh Analytical Resources,Incorporated Coo46111, ler Chemists and Consultants Cooler Receipt Form MI Client: G:, lG'lU�'r'e Project Name: I t 6fC L. / L g--- alveh- . COC No(s): L Delivered by;Fed-Ex UPS.Courier HatIDeliveg Other: (• / Assigned ARl Job No: .0 11 out)7 Tracking No: ,.I�A7 Preliminary Examination Phase: Cam' Were intact;properly signed and dated custody seals attached to the outside of the cooler? YES Were custody papers included with the cooler?...............................................,.......... E'S' NO Were custody papers properly filled out(ink,signed,etc.) • (YES. NO Temperature of Cooler(s).(°C)(recommended 2.0-6.0°C for chemistry) Time 01 C 0 ram. tJ If cooler temperature is out Of compliance fill out form 00070F Temp Gun ID#: DOO 0 ~ • Cooler Accepted by: T��-- Date: i d h" ' //Time: • d g teC/ Complete custody forms and attach all shipping documents • Log-In Phase: Was a temperature'blank included in the cooler? YES What kind of packing-material was used .... Bubble Wrap Wet Ice Get Packs Baggies Foam Block Paper Other:, '''------- Was sufficient ice used(if appropriate)?. . ......:................................................ ..... . NA YES How were bottles sealed in plastic.bags? - ' Individually Grouped ors . Did all bottles arrive in good'condition(unbroken)? NO Were all bottle labels complete and legible? _ NO Did the number of containers listed on COC match with,the number of containers'received? 4:0NO Did a1f bottlelabels and tags agree with custody,papers? NO Were all bottles used correct for the requested analyses?' • rE NO Do any ofthe analyses(bottles)require preservation?(attach preservation sheet,excluding VOCs) 47 YES NO Were all VOC vials.free of air bubbles? • . . r0 YES NO ' { Was sufficient amount of sample sent in each bottle? - � ID NO Date VOC Trip•Blank was made at ARI .• C2 Were the sample(s)split 64 YES: Date/Time: Equipment: Split by: by AR I? ({ / ,f Samples Logged by: J^� . Dater [�.'/O /Time:. r d J Labels.checked by: 7-`J^-✓ . "Notify Project Manager of discrepancies or concerns Sample ID on Bottle ' . Sample ID on COC Sample ID on Bottle Sample ID on COC Additional Notes,Discrepancies,;&Resolutions: . • By: • Date: 0016F Cooler Receipt Form' Revision 014A 01/17/2018 w .. Oh Analytical_Resources,Incorporated Cooler Temperature I, Analytical Chemists and Consultants Compliance Form ARI Work Order: (loco 7 Cooler#: Temperature(°C): (K, 6 Sample ID Bottle Count Bottle Type Cooler#: 'Temperature(°C): Sample ID Bottle Count Bottle Type _ 1 Cooler#: Temperature{°C): Sample ID Bottle Count Bottle Type Cooler#:. Temperature(°C): Sample ID Bottle Count Bottle Type Completed by: elf Date: /d j/o/ Yd,0-/ Time: el, ya 00070F Cooler Temperature Compliance Form Version 000 3/3/09 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlin Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKimton 15-Oct-2021 17:41 BRQ 1 21J0007-01(Solid) Metals and Metallic Compounds Method:EPA6010D Sampled:10/01/2021 08:30 Instrument:ICP2 Analyst:MVP Analyzed:10/07/2021 16:08 Sample Preparation: Preparation Method:SWC EPA 3050B Extract ID:21J0007-01 A Preparation Batch:BJJ0140 Sample Size:1.044 g(wet) Dry Weight:0.90 g Prepared:10/06/2021 Final Volume:50 mL %Solids:86.56 Detection Reporting Analyte CAS Number Dilution Limit Limit Result Units Notes Lead 7439-92-1 5 0.664 5.53 12.4 mg/kg D 4611 S. 1 34th Place. Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 0 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlin Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 BRQ 2 21J0007-02(Solid) Metals and Metallic Compounds Method:EPA 6010D Sampled:10/01/2021 08:30 Instrument:ICP2 Analyst:MVP Analyzed:10/07/2021 16:16 Sample Preparation: Preparation Method:SWC EPA 3050B Extract ID:21J0007-02 A Preparation Batch:BJJ0140 Sample Size:1.08 g(wet) Dry Weight:0.98 g Prepared:10/06/2021 Final Volume:50 mL %Solids:90.35 Detection Reporting Analyte CAS Number Dilution Limit Limit Result Units Notes Lead 7439-92-1 5 0.615 5.12 14.4 mg/kg D 4611 S. 1 34th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlino Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 BRQ 3 21J0007-03(Solid) Metals and Metallic Compounds Method:EPA 6010D Sampled:10/01/2021 08:30 Instrument:ICP2 Analyst:MVP Analyzed:10/07/2021 16:19 Sample Preparation: Preparation Method:SWC EPA 3050B Extract ID:21J0007-03 A Preparation Batch:BJJ0140 Sample Size:1.076 g(wet) Dry Weight:0.96 g Prepared:10/06/2021 Final Volume:50 mL %Solids:89.57 Detection Reporting Analyte CAS Number Dilution Limit Limit Result Units Notes Lead 7439-92-1 5 0.623 5.19 10.7 mg/kg D 461 1 S. 134th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 • Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlino Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 BRQ 4 21J0007-04(Solid) Metals and Metallic Compounds Method:EPA 6010D Sampled:10/01/2021 08:30 Instrument:ICP2 Analyst:MVP Analyzed:10/07/2021 16:22 Sample Preparation: Preparation Method:SWC EPA 3050B Extract ID:21J0007-04 A Preparation Batch:BJJ0140 Sample Size:1.037 g(wet) Dry Weight:0.93 g Prepared:10/06/2021 Final Volume:50 mL %Solids:90.01 Detection Reporting Analyte CAS Number Dilution Limit Limit Result Units Notes Lead 7439-92-1 5 0.643 5.36 16.2 mg/kg D 4611 S. 134th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 0 Analytical Resources,Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlino Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none) Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 BRQ 5 21J0007-05(Solid) Metals and Metallic Compounds Method:EPA 6010D Sampled:10/01/2021 08:30 Instrument:ICP2 Analyst:MVP Analyzed:10/07/2021 16:25 Sample Preparation: Preparation Method:SWC EPA 3050B Extract ID:21J0007-05 A Preparation Batch:BJJ0140 Sample Size:1.079 g(wet) Dry Weight:0.95 g Prepared:10/06/2021 Final Volume:50 mL %Solids:88.16 Detection Reporting Analyte CAS Number Dilution Limit Limit Result Units Notes Lead 7439-92-1 5 0.631 5.26 11.0 mg/kg D 4611 S. 134th Place. Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 0 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlin Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 Metals and Metallic Compounds-Quality Control Batch BJJ0140-SWC EPA 3050B Instrument:ICP2 Analyst:MVP Detection Reporting Spike Source %REC RPD QC Sample/Analyte Result Limit Limit Units Level Result %REC Limits RPD Limit Notes Blank(BJJ0140-BLK1) Prepared:06-Oct-2021 Analyzed:07-Oct-2021 15:09 Lead ND 0.240 2.00 mg/kg U LCS(BJJ0140-BS1) Prepared:06-Oct-2021 Analyzed:07-Oct-2021 15:12 Lead 228 0.240 2.00 mg/kg 200 114 80-120 Duplicate(BJJ0140-DUP1) Source:21J0007-01 Prepared:06-Oct-2021 Analyzed:07-Oct-2021 16:05 Lead 12.1 0.667 5.55 mg/kg 12.4 2.95 20 D Matrix Spike(13JJ0140-MS1) Source:21J0007-01 Prepared:06-Oct-2021 Analyzed:07-Oct-2021 16:11 Lead 244 0.663 5.53 mg/kg 221 12.4 105 75-125 D Recovery limits for target analytes in MS/MSD QC samples are advisory only. 4611 S. 134th Place. Suite 100 • Tukwila, WA 98168 • Ph: (206) 695-6200 • Fax: (206) 695-6202 ()) Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlino Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 Certified Analyses included in this Report Analyte Certifications EPA 6010D in Solid Lead NELAP,WADOE,DoD-ELAP,ADEC Code Description Number Expires ADEC Alaska Dept of Environmental Conservation 17-015 03/28/2023 DoD-ELAP DoD-Environmental Laboratory Accreditation Program 66169 02/28/2022 NELAP ORELAP-Oregon Laboratory Accreditation Program WA100006-012 05/12/2022 WADOE WA Dept of Ecology C558 06/30/2022 WA-DW Ecology-Drinking Water C558 06/30/2022 4611 S. 134th Place, Suite 100 • Tukwila, WA 98168 • Ph: (206)695-6200 • Fax:(206) 695-6202 0 Analytical Resources, Incorporated Analytical Chemists and Consultants Analytical Report Gary Merlin Construction Co Inc Project: Black River Quarterly 9125 10th Avenue South Project Number: [none] Reported: Seattle WA,98108 Project Manager: Greg McKinnon 15-Oct-2021 17:41 Notes and Definitions D The reported value is from a dilution J Estimated concentration value detected below the reporting limit. U This analyte is not detected above the reporting limit(RL)or if noted,not detected above the limit of detection(LOD). DET Analyte DETECTED ND Analyte NOT DETECTED at or above the reporting limit NR Not Reported dry Sample results reported on a dry weight basis RPD Relative Percent Difference [2C] Indicates this result was quantified on the second column on a dual column analysis. ITOWashington State Department of Transportation Request for Approval of Material Contract Number FA Number NSA SR Duvall Ave NE Date CAG 20-065 01/11/2022 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# 066/ 066A PE Use Bid Item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr.IQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A27.A32 Sand Ulu,CSBS Squak Aluunlad, 9-03'14(1) Gravel Borrow , q-03.21(1)C 10 A32 Gravel Backfill Squak Mountain - Issaquah, WA 9"03.12(2) 10 for Walls 9-03.21(1)C Bank Run 9-03.19 B4.02 Gravel for Squak Mountain -Issaquah, WA 1, 2 9-03.211C Trench Backfill ( ) A43.03.02 Pipe Zone 9-03.12(3) to Bedding Squak Mountain -Issaquah, WA 9-03.21(1)C 1, 2 A48.03.02, B6.04 to B8.04, B9.05 Project Engineer/Representative - •- Date State Materials Engineer/Representative Date � 1113/2022 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. 0 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. 0 Approval Withheld: Approval Withheld: not approved for Gravel Borrow or Gravel Backfill for walls 11. Miscellaneous Acceptance Criteria. Remarks Prior to use, provide toxicity testing and certification of (PE): toxicity characteristics in accordance with Section 9-03.21(1). Remarks Provide Scale Cert. and Daily Scaleman's Reports. (HQ): Delivery Ticket shall show bid item number and description. CSBC material can be used for Gravel Backfill for Pipe Zone Bedding (9-03.12(3)) DOT Form 350-071 Project Engineer Distribution Revised 03/2021 El Contractor ID Region Operations Engineer p Fabncation Inspection ❑Region Materials ❑State Materals Lab-MS 47365 9-03.12(3)Gravel Backfill for Pipe Zone Bedding 9-03.9(1) Ballast(for use as Gravel Borrow) Sieve Size Percent P> g Sieve Size Percent Pang 1'4" 99-100 2'6" 99-100 r 2" 65-100 if 1" 75-100 r 9." 50-100 r Noo" 26-44 i .4 26-44 No.4 20-80 r No.40 16 max. r No.40 3-24 r No.200 9.0 max }-- No.200 10.0 max.r Dust Ratio max. i Sand Equivalent 35 min.r ^ Sand Equivalent 35 min. r _ U.S.Standard Sieve Opening in Inches U.S.Standard Sieve Numbers Hydrometer Results 100% 20 ,,41f. 4 3 1Y '/. '/a V. #4 10 16 20 30 40 50 100 200 0% 90% . . 10% . . 4 80% 6\....s....s_t 20% t ' z 70% .. . \ �+ - 30% _ S. 60°/" 40% 3 E % 4.♦ - ♦ H 50% a • . _ . . o 20% �A� V� . . /o 0% - �'► L %gip! 100% 1000 100 10 1 0.1 0.01 0.001 Grain Size in Millimeters Gravels Sands Cobbles Silts (-lays Coarse I Fine Coarse I Medium I Fine Date:0I/06;22 13,0- 0.19 CSCS Classification %Gravel %Sand Sample#:20-198 Da°=3.25 GP-GM,Poorly graded Gra 61.8% 31.3% Sample ID:Squak Mtn CSBC D°°= 11.87 Specifications Source:Stock Pile Cc=4.57 WSDOT 9-03.9(3)Base Course Project: CO.61.02 Sample Meets Specs %Silt&Clay Location:Squak Mtn Liquid Limit=n/a Yes 6.9% Boring#: Plastic Limit=Tea Fineness Modulus SE 56 Depth: Plasticity Index- n.'a 5.46 Coarse Actual Interpolated Fines Actual Interpolated Section Cumulative Cumulative Section Cumulative Cumulative Sieve Size Percent Percent Specs Specs Sieve Size W Percent Percent Specs Specs W US Metric Passing Passing Max Min US Metric Passing Passing Max Min 6.00" 150.00 100.0% ' #4 4.750 38.2% 38.2% 45.0% 25.0% 4.00" 100.00 100.0% #8 2.360 25.2% 3.00" 75.00 100.0% #10 2.000 23.2°/o 23.2% 2.50" 63.00 100.0% #16 1.180 19.5% 2.00" 50.00 100.0% #20 0.850 17.9% 1.75" 45.00 100.0% #30 0.600 16.8% 1.50" 37.50 100.0% #40 0.425 16.0% 16.0% 18.0% 3.0% 1.25" 31.50 100.0% 100.0% 100.0% #50 0.300 12.7% 1.00" 25.00 94.3% 94.3% 100.0% 80.0% #60 0.250 11.4% 7/8" 22.40 88.0% #80 0.180 9.6% 3/4" 19.00 79.9% #100 0.150 8.8% 5/8" 16.00 72.7% 72.7% 80.0"o 50.0". #140 0.106 7.7% 1/2" 12.50 61.9% #170 0.090 7.3% 18" 9.50 52.7% #200 0.075 6.9% 6.9% 7.5% 0.0% 1/4" 6.30 42.9% #270 0.053 #4 4.75 38.2% 38.2% 45.0% 25.0". e (1Trright;SpeAr.Engineering&Technical S.n,cc:PS. 199(.2005 9-03.14(1) Gravel Borrow 9-03.12(2) Gravel Backfill for Walls 9-03.19 Bank Run Gravel Sieve Size Percent Passljtg Sieve Size Percent Passing for Trench Backfill 4" 99-100 a. 99.100 r ( Sieve Size Percent Passing 2" 75-100 1 _ 2" 75-100 It I 2" 75-100 r No.4 22-66 - No.4 50-80 X _ No.200 SA max. X No.4 22-100 �' No.40 30 max. r %Passing No.200 r No.200 0-10 i No.200 , 7.0 max. Dust Ratio: ",�x Dust Ratio: i5 max. Ir %Passing No,40 - Sand Equivalent 50 min. r Sand Equivalent 60 min. X Sand Equivalent 30 min. IV;As Washington State Qepartment 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 Title.of Project Duvall Ave NE County King - - Contrac0r 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#062 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEJt1PL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A27 Gravel Borrow . Black River Quarry 2-03 10 GrA32 or vet Backlit! Black River Quarry 9-03.12(2) 1, 2, 1175, ASA B4 imported Black River Quarry 9-03.12(2) 1,2, 1175, ASA Trench Backfill. • • Project Engineer/Representative . , Date State Materials Englneer/Representative Date 12/20/2021 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. . 0 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. ()Approval Withheld: Failed #4 sieve for gravel borrow • 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 Provide Scale Cert. and Daily Scaleman's Reports. Delivery Ticket shall show bid item number and description. DOT Form 350-071 Project Engineer Distribution Revised 03/2021 Ex Contractor El Region Operations Engineer ❑Fabrication Inspection El Region Materials El State Materials Lab-MS 47385 i Stoneway Concrete Technical Services Aggregate Sieve Analysis PROJECT: Internal Testing DATE: 12/15/2021 LOCATION: Black River Quarry SAMPLE SOURCE: A-516 SAMPLE DESCRIPTION: RCA COS Type 17 AGGREGATE SIZE: 2" TESTER: Sean SPECIFICATION SIEVE WEIGHT PERCENT PERCENT COS 9-03.10 SIZE RETAINED RETAINED PASSING Type 17 4" 0.0 0 J 100 ./ 3 0.0 0 100 95 - 100 2" 0.0 0 ,/ 100 ,/ 1" 4.9 14 86 1/2" 12.0 35 65 • #4 22.4 66 C-34 24 - 71 #40 30.5 89 4 11 #200 33.4 98 f 2 J 0 - 5 Pan 34.1 100 . 0 WET SAMPLE: 36.2 TOTAL MOISTURE: '5.8% DRY SAMPLE: 34.1 DUST RATIO: 19% SE: 61% '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 600 lb of cement per cubic yard(C 33 6.2) Material meets requirement for gravel.backfill for walls & Trench Backfill Failed #4 sieve for gravel borrow ASTM C 136 ASTM C 33 El WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling, Black River Aggregate Source: RS-A-516 Lessee: Known as: Kangley Rock&Recycling, Black River Located in: T23N, RANGE4E,SECTION/4 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: 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: FCAAbsorption: FCA Organics: FCA Sp.G: LA: Remarks: NOT approved-for: Coarse Concrete Aggregates Fine Concrete Aggregates 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: 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: 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)6 VSDOT-Materials Laboratory https://www.wsdot.wa.gov/biz/mats/QPL/QPLProdinfo.cfm?Product n... i Washington State var Department of Transportation 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