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Home My WebLink AboutCAG-20-065 - Duvall - B9 - Additional Ductile Iron Fittings I . � `L�: ` `��: O.' i 04ii, O. O O, �. O. O. V. V. O �. O, �). �, Cj. V. V, V �J. O 6, CV. V. Q. �). �. 0. <? ;p' _ uinttuutuuinnieetnt-tittuttettteAutturtimit tttuttiittututtttttutuutututuiuWtuutlimutttut ilmiltuttuinnllimmitiniitiiiiim tF_ Cam. : � = UNITEC Corporation • _ C`'., :°v� = 358 Upland Drive • Seattle,Washington 98188 = c40 .. o' = Qrtithafr ilt,inn rirthin• - .a• 'o - This is to certify that G-t/nfjft �J scale(s) • . = Co, TLocated at: ,� Lt'f� l�l� j.�oaf � Izt `/ ,�a� w - C . 1 = was (were) serviced on this 2(' day of ,T/9/vaisthut 20 7-7, by an'authorized representative of = co,, o' = the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. T Co' .�, __ : cam.:; .G� - = cam.. ;'To = A record of said inspection is on file at the above address and in the offices of UNITEC CORPORATION. • = cam; 0 = ca• •�� (206) 575-1100 cam` . •4) c. •• o p, O. .p. 'Or O, p. O. O; yrJ; O. O• O: 9�c ,�' .fir. fir_ aGc a`�r. _"r, �r .O_ i�r. .Gr yOr ^O, f`�� G� O. O. G o/// AIRIFEST 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 Suite C Services Kirkland, WA 98034 , (425) 885-1664 LABOR A T 0 R IES 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 3050B 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 3050E 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 3050E • 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 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 3050B 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 1 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 3050B 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 Aardn W. Young Vice President P.7 Am Test Inc. Professional 13600 NE 126th PL Analytical Suite C EST Services Kirkland, WA, 98034 (425) 885-1664 LABOR A T 0 RIES www.amtestlab.com 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 • ' ''. •• % -11 EST AmTest Chain of Custody Record 13600 NE 126th PI,Suite C, Kirkland,WA 98034 LAB ORATOR 1 es . Ph(425)885-1664 Fx(425)820-0245 www.amtestlab.com • i • - Chain of Custody No. " - Client Name 8(Address: • Invoice To: <....,•• .....-i 0,,-4-1 -/'n -7 :Ci i , i,11 !'t.i!Leftr,L.I 1,1 11: 1...i L'-'1 ?..:•"..f CI _,,.. li....0. // frli tk-I Li/Pile't.1 I:I'c6.1. i 6 r ' _t_li'-') ,-:,- ...v. ...) ..., .,:,i -•i , - i i • '.';',- ' q ,..! •i...e ', 1'').'" 14 l'I'V-Irr:j/. ''' I L:`'`.1/1 ti I.al tte4-..AP' ' -, ':W'..1:r," '11 (..4. 1011i ',t'i) •-'40'71,1 jefil 7 . , Contact Person: r) , ,. ••- '''') 1/4. 17- Invoice Contact: t--) t ) 6, , ip ,.,V illa 1 Yt:". lit?.61 rl ., .\ . , ;,/, ,kv,,.-- y?,..' I 47,tiq..0;(/\ , Phone No: '7, , /JO/ , e-7, /Q--2 PO Number: t; : ,4':•--, 7 tz/ - : , C - Z.,q?9/ ''..vi'Vi 1 Fax No: Invoice Ph/Fax: • E-mail:,l.L-2-f,J._.0-4:.-- 4 t1 -f Invoice E-mail: ki /Ct.?.r kik-k!,::-IV Pitl'i'/44-; i (..• . .(7/7 Report Delivery: (Choose., alLthat apply) Data posted to online accoLint; YES / NO • -,- -. Mail / Fax /( Emall.-1 / Posted Online Web Login ID: .... ....... Special Instructions: • • . • . kequestp.d.TAT:..,(Rush must be pre-approved by lab) Temperature upon Receipt: • (Standard,) RUSH ( 5 Day / 3 Day / 48 HR / 24 HR• ) 14.5 ProjeCENaiiie: ...„ ./ fi'Z'I ' . 0 Analysis Requested ¼ -a -0 cu Project Number: 0 a) . c • a P E E x 4., m 73 g (I) u) mi u (1) 0) 4_ Client ID E 4, °na u AmTest ID o I= CY (35 characters max) • Zci -e 7:i. . " • a . . 2- (07 1 -:- . , (M . . . _ 771 5 11 1 71-i S . - . . . - . . . -7(0 cplcted/Relinquished By: Date Time Received By: Date Time - . Relinquished By: Date Time Received By: • • Date Time Relinquished By: Date Time Received By: ' Date Time • . -COMMENTS: • . . P.9 Truck Scale Report & Certification Date Tested: January 14,2022 C0 14h. 4 NO Company Icon Materials E-mail' raysscalederek@yahoo.com Name and Asphalt Scale PO Box 8282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on 0 Min Grad: 20 lbs Size 120'x 10' Arrival: Platform: Capacity: 60 ton CLC: 35 ton Scale: Unibridge Make: Rice Lake Serial#: 1514200059 County: King Number of Scale Serial Reg 12 Sections: #: N/A Element: 820i Loaded Test Scale Load Test Scale Postion Weights Indication ERROR Position Weights Indications ERROR As Found Section 10 Test Truck 32,840 0 Section 1 Test Truck 32,880 0 Section 11 Test Truck 32,860 0 Section 2 Test Truck 32,860 0 Section 12 Test Truck 32,880 0 Section 3 Test Truck 32,880 0 Section 4 Test Truck 32,840 0 Section 5 Test Truck 32,880 0 Section 6 Test Truck 32,860 0 Section 7 Test Truck 32,880 0 Section 8 Test Truck 32,840 0 Section 9 Test Truck 32,860 0 Strain Load Test Empty Truck Weight Test Weights Total Error 20,880 12,000 32,880 0 Condition upon Inspection Stands Good Deck Good Indicator Good Cables Good Cell Good Bolts Good Printer N/A J-Boxes Poor Links Fair Guide Rails Good Scoreboard N/A Coping Good Remarks and/or Instructions Scale Technician na d Agent#): Owner/Operator: Derek Larsen # 16705 S. Truck Scale Report & Certification I 0 Date Tested: January 14,2022 CO III; + NO Company Icon Materials E-mail"- raysscalederek@ya h oo.com Name and Inbound Scale Po Box$282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 Balance on Size 0 Min Grad: 20 lbs 80'x 10' Arrival: Platform: Capacity: 60 ton CLC: 50 ton Scale: Murphy Make: Rice Lake Serial#: B34429 County: King Number of 6 Scale Serial N/A Reg IQ 710 Sections: #: Element: Loaded Test Scale Load Test Scale Postion Weights Indication ERROR Position Weights Indications ERROR As Found As Left Section 1 Test Truck 33,000 100 Section 1 Test Truck 32,900 0 Section 2 Test Truck 32,880 0 Section 2 Test Truck 32,880 0 Section 3 Test Truck 32,900 0 Section 3 Test Truck 32,920 0 Section 4 Test Truck 32,880 0 Section 4 Test Truck 32,880 0 Section 5 Test Truck 32,900 0 Section 5 Test Truck 32,880 0 Section 6 Test Truck 32,980 80 Section 6 Test Truck 32,900 0 Section 1 Section 1 12,000 12,000 0 Strain Load Test Empty Truck Weight Test Weights Total Error 20,880 12,000 32,880 0 Condition upon Inspection Stands Good Deck Good Indicator Good Cables Good Cell Good Bolts Good Printer N/A 1-Boxes Good Levers Fair Guide Rails - Good Scoreboard Good Coping Good Remarks and/or Instructions Scale Technician(Si tur and Agent#): Owner/Operator: Derek Larsen ..� r'!^ri 16705 Truck Scale Report & Certification Date Tested: January 14,2022 CO Nib Company Icon Materials E-mail.- Name and Outbound Scale raysscalederek@yahoo.com PO Box 8282 Address: 4040 Kersey Way SE Bonney Lake,WA 98391 I Balance on 0 Min Grad: 20 lbs Size 80'x 11' Arrival: Platform: Capacity: 60 ton CLC: 50 ton Scale: Suvivor Make: Rice Lake Serial#: 834435 County: King Number of 5 Scale Serial 8QEH Reg IQ 710 Sections: #: Element: Loaded Test Scale Load Test Scale Postion Weights Indication ERROR Position Weights Indications ERROR As Found As Left Section 1 Test Truck 32,860 0 Section 1 Test Truck 32,860 0 Section 2 Test Truck 32,880 0 Section 2 Test Truck 32,880 0 Section 3 Test Truck 32,760 -100 Section 3 Test Truck 32,880 0 Section 4 Test Truck 32,880 0 Section 4 Test Truck 32,860 0 Section 5 Test Truck 32,860 0 Section 5 Test Truck 32,880 0 Section 1 Section 1 12,000 12,000 0 Strain Load Test Empty Truck Weight Test Weights Total Error 20,880 12,000 32,880 0 Condition upon Inspection Stands Excellent Deck Excellent Indicator Fair Cables Excellent Cell Excellent Bolts Excellent Printer N/A 1-Boxes Excellent Levers N/A Guide Rails Excellent Scoreboard N/A Coping Excellent Remarks and/or Instructions Scale Technician (Signature and Agent#): Owner/Operator. Derek Larsen # 16705 IOW Washington State •/ Department of Transportation Request for Apfproval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 01:28;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# 80 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 A44-A52 CSTC 5,8-Natural Sumner Pit B-231 7-04 1, 2 ,B6-B9 A44-A52 rcar 4 vas 10-.t..1 cs...w,..nil T4 1 -._. .. ,Bb-du A43-A52 theatiilwi for Sumner Pit B-231 9-03.19 1, 2 A43-A52 T h un e '•'ta Sumner Pit B-231 9-03.19 1, 2 A43-A48,Gravel eackflu for B6-B9 Pipe Zone Bedding Sumner Pit B-231 9-03.12(3) 1, 2 A43-A48 Gravel Backfill for B6-B9 Pipe Zone Bedding Sumner Pit B-231 9-03.12(3) 1, 2 Project Engineer/Representative Date State Materials Engineer/Representative Date 1/31/2022 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. 2. 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. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Provide Scale Cert. Delivery Ticket shall show bid item number and description Remarks (HO): DOT Form 350-071 Project Engineer Distnbution Revised 03/2021 []Contractor ❑Region Operations Engineer ❑Fabncation Inspection ❑Region Materials ❑State Materials Lab-MS 47365 Stoneway Concrete Technical Services Aggregate Sieve Analysis PROJECT: Internal Testing DATE: 1/26/2022 LOCATION: Sumner Sand & Gravel SAMPLE SOURCE: B-231 SAMPLE DESCRIPTION: 5/8" Crushed Surfacing Top Course Type 1G AGGREGATE SIZE: 5/8r' TESTER: Sean SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSING 9-03.9(3) 3/4" 0.0 0 100 / 99 - 100 5/8" 0.0 0 100 \/ 1/2" 0.9 8 92 80 - 100 3/8" 2.7 27 73 1/4" 4.7 46 54 #4 5.5 54 46 'Si 46 - 66 #40 9.0 89 11 J 8 - 24 #200 9.7 96 4 J 0 - 10 PAN 10.1 100 0 WET SAMPLE: 10.6 TOTAL MOISTURE 5.0% DRY SAMPLE 1: 10.1 SE: 64% Ni FRACTURE: 100% %Passing No.200 Dust Ratio: %Passing No.40 1 "The minimum percent passing the No.50 end 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 500 to of cement per cubic yard(C 33 6.2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Pe zet Passing 1%" 99-100 1" 75-100 %" 50-100 d 9-03.9(3) Crushed Surfacing No.4 20-80 if Base Course Cop Co�,atone No.40 3.24 Sieve Size Percent No.200 10.0 max. 4 Sand Equivalent 35 min. d 1" ' 99-100 1" 80-100 '/." 99-100 4 %" S0.80 9-03.19 Bank Run Gravel for %" 80-100 4 Trench Backfill No.4 25-45 46-66 4 sieve Ski PercenttgPosing No.40 3-18 8-24 4 Y21� 7 - 00 No.200 7.5 max. 10.0 max.i No.4 22.100 %Fracture 75 min. 75 min. i No.200 0-10 Sand Equivalent 40 min. 40 min. 4 Dust Ratio: %max. Sand Equivalent 30 min. 4 ASTM C 136 ASTM C 33 PROJECT: Internal Testing DATE: 1/26/2022 LOCATION: Sumner Sand & Gravel SAMPLE SOURCE: B-231 SAMPLE DESCRIPTION: 1-1/4" CSBC /Type 2G AGGREGATE SIZE: 1-1/4" TESTER: Sean SPECIFICATION SIEVE WEIGHT PERCENT PERCENT COS9-03.9 SIZE RETAINED RETAINED PASSING Type 2G 1-1/4" 0.0 0 100 99 - 100 1" 0.3 3 97 V/ 80 - 100 3/4" 1.8 18 82 5/8" 2.7 27 73 V 50 - 80 1/2" 3.8 38 62 3/8" 4.5 45 55 #4 6.1 61 39 V 25 - 45 #40 9.4 95 5 J 3 - 18 #200 9.7 98 2 J 0 - 7.5 PAN 9.9 100 0 _ WET SAMPLE: 10.3 TOTAL MOISTURE: 3.9% I DRY SAMPLE: 9.9 S.E.: 64% FRACTURE: 98% %Passing No.200 Dust Ratio: %Passing No.40 'The minimum percent passing the No.50 and No.100 sieves may be reduced to 5 and 0,respectively.4 the aggregate a to be used in ar-entralned concrete containing more than 400 lb of cement per cubic yard or in novair-entrained concrete containing more than 500 lb of cement per cubic yard(C 33 6,2) 9-03.12(3) Gravel Backfill for Pipe Zone Bedding Sieve Size Percent Passing 1%" 99.100 9-03.9(3) Crushed Surfacing1" 75-100 ( ) / " so 100 - ( se Course) Top Course and Keystone No.4 20-80 Sieve Size Percent Passing No.40 3-24 116" 99-100 / r No.200 10.0 max.4 Sand Equivalent 35 min.1 V 80-100 K" 99-100 Kr 8/�-1" N80 ' K .r ry� " 00 No.a zs as4 _66 9-03.19 Bank Run Gravel for No.40 3 18 8-24 Trench Backfill No.200 7.5 max.'is 10.0 max. SIe g Perceerligi- , %Fracture 75 min.T e 75 min. 2" 75-100 J Sand Equivalent 40 min. 1 40 min. No.4 22-100 4 No.200 0-10 J Dust Ratio: iS max.t Sand Equivalent 30 min.1 Page added by engineer ® WSDOT MATERIALS LAB oi/28/2022 Aggregate Source Approval Report Owner: Cava Materials Aggregate Source: PS-B-231 Lessee: Known as: Cava Materials Pit Located in: S 1/2 NW 1/4 Section 13 T2ON R5E County: Pierce Remarks: Mineral Agg.and Surfacing: Test Date: 04/15/2021 Expiration Date: 04/15/2026 Absorption:1.01 Apparent Sp.G.:2.745 Bulk Sp.G.(SSD):2.697 Bulk Sp.G.:2.67 Deg:66 LA:14 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 Weanng Course Maintenance Rock Permeable Ballast Acceptance tests need to be performed as necessary. Aggregates for Concrete: Test Date: 02/01/2018 Expiration Date: 02/01/2023 ASR-14 Day:0.56 ASR-One Year:0.04 CCAAbsorption:1.18 CCA Sp.G:2.681 Deg:70 FCA Absorption:2.04 FCA Organics:1 FCA Sp.G:2.627 LA:12 Remarks: 1-Year ASR Results expire 12/19/2023 Currently approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Acceptance tests need to be performed as necessary Acceptance tests need to be performed as necessary 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: Page added,by engineer Remarks: • NOT Approved for: Quarry Spells Riprap Rock for Erosion and Scour Protection Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: 02/01/2018 Expiration Date: 02/01/2023 Absorption:1.18 Apparent Sp.G.:2.735 Bulk Sp.G.(SSD):2.681 Bulk Sp.G.:2.65 Deg:70 LA:12 Remarks: Currently Approved for: Streambed Aggregate • Gravel Borrow for Structural Earth Walls: Test Date: 02/01/2018 Expiration Date:.02/01/2023 Bulk Sp.G.(SSD):2.681 Deg:70 LA:12 Remarks: Forgeosynthetic 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) Page added,by engineer 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 ANIL Washington State r1 Department of Transportation Request for Apiproval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 01/28/2022 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# 081 PE Use Bid Item Material or Name and Location of Fabricator, Specification PFJQPL Hdgtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A27 , B6-B9-A52 Gravel Borrow Icon Materials-Auburn A-464 7-04 1, 2 B6 A44-A52. B6-B9 CSTC Icon Materials-Auburn A-464 7-04 1, 2 A44-A52 CSBC Icon Materials-Auburn A-464 7-04 1, 2 , B6-B9 Project Engineer/Representative ` Date State Materials Engineer/Representative Date 1/31/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 21. 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. 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. 10, Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Provide Scale Cert. Delivery Ticket shall show bid item number and description Gravel Borrow may be used for Gravel Borrow and Bank Run Gravel for Trench Backfill Remarks (HQ): CSTC may be used for CSTC, Bank Run Gravel for Trench Backfill and Gravel Backfill for Pipe Zone Bedding CSBC may be used for Bank Run Gravel for Trench Backfill and Gravel Backfill for Pipe Zone Bedding DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ®Contractor 0 Region Operations Engineer 0 Fabncation Inspection 0 Region Materials 0 Stale Materials Lab-MS 47365 ICON Summary Report Sample Information Sample No 1264637438 too Product Id 238093 Product Name Gravel Borrow Specification WSDOT 9-03.14.1 Gravel Borrow Date Sampled 01/07/2022 09:00 7 Sampled By Skye Southward Sample Type Investigative s6 Sample Method Surge Pile 40 Notes 30 2022 Submittal (B) 10 0 &MO°Mm°fmm) DINES)0 10 030 046 050 t 42 086 210 0154:185 002 Cu 1491 Co 0 S Gradation Results Quality Results Date Tested Tested By Skye Southward Sieve %Passing Tolerances Test Result Unit Tolerances 4"(100mm) 100 99-100 FM 3.88 AASHTO T27/T11 3"(75mm) 100 SE 62 % 2:50 AASHTO T176 2"(50mm) 100 75-100 -#200(75um) 6.7 % 1"(25mm) 98 Grad Loss 0.0 % 3/4"(19mm) 94 Wash Loss(#200/75um) 4.5 1/2"(12.5mm) 88 3/8"(9.5mm) 82 #4(4.75mm) 71 50-80 9-03.12(3) Gravel Backfill for #10(2mm) 57 Pipe Zone Bedding Slay.Sian Paucant Passing #40(.425mm) 25 0-30 14" 99-100 #100(.15mm) 9 %Passing No.200 1" 75-100 #200(75pm) 6.7 0-7 Dust Rat o: %Passing No.40 %" C50-100 No.4 20-80 No.40 3-24 X No.200 10.0 max. Sand Equivalent 35 min. 9-03.14(1) Gravel Borrow Sieve Site Percent 9-03.19 Bank Run Gravel for 4" 99-100 Trench Backfill 2" 75-100 ✓ No.4 50-80 ✓ 2 75.300 No.40 30 max. No.4 22-100 No.200 7.0 max. No.200 0-10 Dust Ratio: i5 max ✓ Sand Equivalent 50 min. ✓ Sand Equivalent 30 min. ✓ StonemontQC 01/10/2022 CRH Americas Materials(AMAT) ICON Summary Report Sample Information Sample No 303028092 ISO- Product Id 2350 Product Name 5/8"CS TC 30: Specification 9-03.9(3)Crushed Surfacing TC 80- Date Sampled 01/08/2022 10:00 7.- Sampled By Randy Mattson 60- Sample Type Investigative i 5,. Sample Method Surge Pile - 40- Notes 30- Submittal 2022 / m X t9 s-... i . i .i . i..., i .i . , r V'T 1 1 P I ' 1 8 If, b 1, s 1 . '4. '4. R 9a�'s. �a s«40....(mni DIO(ESI.0.23 DM 106 DOD 312 060 443 oisog.004 Cu 2123 Cc I CO Gradation Results Quality Results Date Tested Tested By Randy Mattson Sieve %Passing Tolerances Test Result Unit Tolerances 1 1/2"(37.5mm) 100 SE 66 % >_40 AASHTO T176 1"(25mm) 100 Fractured Faces(>1) 95.0 % 2.75 AASHTO T-335 3/4"(19mm) 100 99-100 Unfractured Faces(>1) 5.0 °/D AASHTO T-335 5/8"(16mm) 99 -#200(75um) 4.2 % 1/2"(12.5mm) 94 80-100 Grad Loss 0.0 3/8"(9.5mm) 82 Wash Loss(#200/75um) 3.6 % 1/4"(6.3mm) 67 #200/#40 0.25 #4(4.75mm) so 46-66 9-03.12(3) Gravel Backfill for #8(2.36mm) 44 Pipe Zone Bedding Sieve She #16(1.18mm) 32 Percent Pa sty #30(.6mm) 21 1#" 99-100r1, %Passing No.200 1" 75-100 #40(.425mm) 17 8-24 Dust Ratio: %passing No.40 W. 50-100 J #50(.3mm) 12 No.4 20-80/ #100(.15mm) 6 No.40 3-24 #200(75pm) 4.2 0-10 No.200 10.0 max 9-03.9(3) Crushed Surfacing ` Sand Equivalent 35min.J ease Course (Top Coors, d Keystone Sieve are Percent eT✓ 1%" 99-100 1" 80-100 9-03.19 Bank Run Gravel for r" 99-100 i Trench Backfill WI 50-8091.1/0 IS" 80-100 J 2" 75-100 No.4 25-45 46-66/ No.4 22-100 No.40 3-18 8-24 No.200 0-10 f/ No.200 7.5 max. 10.0 max.i Dust Ratio: %max tl %Fracture 75 min. 75 min. Sand Equivalent min. J Sand Equivalent 40 min, 40 min. J V V v Materials(AMAT) ICON Summary Report Sample Information Sample No 655576787 1m- h—+—.6 Product Id 2379 Product Name 1 1/4"CS BC 90- Specification 9-03.9(3)Crushed Surfacing BC w7 - Date Sampled 01/04/2022 11:05 70- Sampled By James Begley 86„ Sample Type Process Control J N: Sample Method Surge Pile ,' 40 Notes 2022 Submittal 3D, f to: 10- °'"" i • ' 1 ..... p . aI Kr.. ,riirii ' i1 ' S i4.. e - ' .' a SWOOPV,M0 OW) 010165)Pig DID 2.d1 060758 COO.1053 0154066 0.04 C0 21 51 CC 1.67 Gradation Results Quality Results Date Tested Tested By James Begley Sieve %Passing Tolerances Test Result Unit Tolerances 2 1/2"(63mm) 100 SE 73 % 240 AASHTO T176 2"(50mm) 100 Fractured Faces(>1) 98.0 % >_75 AASHTO T-335 1 1/4"(31.5mm) 100 99-100 Questionable Faces(>1) 4.1 % AASHTO T-335 1"(25mm) 96 80-100 -#200(75um) 2.0 % 3/4"(19mm) 86 Grad Loss 0.0 % 5/8"(16mm) 77 50-80 Wash Loss(#200/75um) 1.3 % 1/2"(12.5mm) 66 #200/#40 0.23 3/8"(9.5mm) 56 9-03.12(3) Gravel Backfill for Pipe Zone Bedding #4(4.75mm) 37 25-45 #10(2mm) 25 Stove Size Percent Passim 114" 99.100 t #40(.425mm) 9 3-18 %Passing No.200 1" 75-1001/ #100(.15mm) 3 Dust Ratio: %Passing No.40 %" 50-100/ #200(75pm) 2.0 0-7.5 No.4 20.801f No.40 3-24 1/ No.200 10.0 max.J 9-03.9(3) Crushed Surfacin! Sand Equivalent 35 min. r 44:MIO _Top Course and Keystone Sieve Size • . ... Passing 1Y." 99-100 1" 80-100 f 9-03.19 Bank Run Gravel for %" 99-100 Trench Backfill %~ 5080•f Y+" 80-100 2" 75.100 / No.4 25-45 JSITIV 46-66 No.4 22.100 J No.40 3-18 1/� 8-24 No.200 0-10 No.200 7.5 max. 10.0 max. Dust Ratio: %max. %Fracture 75 min.J/ 75 min, Sand Equivalent 30 min. I,Sand Equivalent 40 min. V 40 min. StonemontQC 01/08/2022 CRH Americas Materials(AMAT) Aggregate Source Approval Report. https:l/www.wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A&pi... WSDOT MATERIALS LAB 01/31/2022 Aggregate Source Approval Report Owner: La Pieota Limited Partnership Aggregate Source: PS-A-464I Lessee: Icon Materials,Inc: • Known as: Auburn Pit Located in: SW1/4 SW1/4 SEC 28&29 Section 28,29,T21iti.RSE County: King Remarks: Mineral Agg.andSurfac6ig: Test Date: 10/17/2018 , Expiration Date: 10/17/2.023 Absorption:1.26 Apparent Sp.G.:2.744 Bulk Sp.G.(SSD):2.686 Bulk Sp.G.:2.652 Deg:57 . LA 14 Remarks: • Currently approved.as a source of aggregate for: • ATB • Ballast BST Crushed.Cover Stone BST Crushed ScreeningsCrushed 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: 10/24/2018 Expiration Date: 10/24/2023 ASR-14 Day: ASR-One Year:0.037 CCA Absorption:1.24 CCA Sp.G:2.68 Deg:72 FCAAbsorption:2.18 FCAOrganics:3 FCASp.G:2.624 • • LA:11 Remarks: Current 1 Year ASR(ASTM C1293)results: 0.037%.Results expire on 12/9/2025 Currently approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Acceptance tests need to be performed as necessary Acceptance tests need to be performed:as necessary 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: 1 of 2 1/31/2022,9:43 AM Aggregate Source Approval Report. https://www.wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A ;pl... NOT Approved for: Quarry Spats Riprap Rock for Erosion and Scour Protection Rock for Rook Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: 10/24/2018 Expiration Date: 10/24/2023 Absorption:1.24 Apparent Sp.G.:2.736 Bulk Sp.G.(SSD):2.68 Bulk Sp.G.:2.647 Deg:72 LA 11 Remarks: Currently Approved for: Streambed Aggregate • Gravel Borrow for Structural Earth Wads: Test Date:10/24/2018 Expiration Date: 10/24/2023 Bulk Sp.G.(SSD):2.68 Deg:72 LA 11 Remarks: For geosynthetic relnforcement,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 2 of 2 1/31/2022,9:43 AM Washington State �/ • Department of Transportation Request for Approval of Material Contract Number FA Number N/ASRDuvall Ave NE Date CAG 20-065 . 01107/211122 . Section i'ritfe 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 ofsubmittal it may For WSDOT Use Only be returned for Information that was omitted. RAM# 072 PE Use Bid Item Material or Name and location of Fabricator, speotfrcalon PEIQPL HdgtifQPI: HQ Use No. Product type Manufacturer or Pit Number Reference Code Code B10 Thrust Blocks Ash Grave 74.6 2 89:03 _812•,02 814.06, 815.06 816.06 817.10 B18.10 • 819.06 BZ1.08 Project EngineedRepresentative , 2 Date State Materials EngineedRepresentative Date �--,� 1/11/2022' 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.Cart 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. 8. Acceptance Criteria:"Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. 8. SourceApproved: 9. Approval Withheld: Submit samples for preiiminary evaluation. • 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Mfr. Ceti: of Compliance shall show cement mill test report rumberand'admixture , product&dosage. Re(HOmjarks -Y..•�^r 7-09.3(21) Concrete Thrust Blocking EThe Contractor shall provide the Engineer at least 1 Working Day advance notice before pouring concrete thrust blocking and 1 Working Day advance notice for inspection and Lfproval of all concrete blocking rp for to backfilling. �i DOT Form 350.071 Protect Engineer Distribution Revised'0312021 ['Contractor Re ' n 4❑ goo Operations Engineer ['Fabrication Cowden Raglan Matadors ❑Stab:Matsrtais Lab,feSmeS , W; Washington State Department of Transportation Concrete Mix Design Contractor .Submitted By Date Reed Trucking 1-7-2022 Concrete Supplier Plant Location Miles Sand&Gravel Pacific, Kent Contract Number Contract Name Duvall Ave NE-Renton This mix is to be used in the following Bid Item No(s): Concrete Class: 4000 J Remarks Can be used for Commercial Class Concrete Mix Design No. 0442A Plant No. 202.203V Cementitious Source Plant Type,Class or Grade Sp.Gr. Lbs/cy Materials Cement AshGrove Seattle ASTM C 150 Type 1/II 13.15 564 Fly Ash a �F D C Alkali% GGBFS(Slag)a 100 El 120 Concrete Admixtures Manufacturer i Product Est.Range (ozlcy) Air Entrainment BASF MasterAir AE90 1-15 Water-Reducing Type A BASF MasterPolyheed 997 17-50 Water(Maximum) 246 Ibs/cy Is any of the water Recycled or Reclaimed? El Yesd Q Na Water Cementitious Ratio(Maximum) 0.44 Mix Design Density(pcf) 144.8 Design Performance(Attach Test Data) Average 28-day compressive strength(psi) 5290 V Average 14-day flexural strength(psi)(Concrete Pavement Only) Concrete Chloride Ion Content(%by mass of cement) .031 V Water Soluble 0 Acid Soluble Agency Use Only(Check appropriate Box) El This Mix Design MEETS CONTRACT SPECIFICATIONS and may be used on the bid items noted above This Mix Design DOES NOT MEET CONTRACT SPECIFICATIONS and is being returned for corrections Reviewed By: { - -'`� 1/1112022 PE Signature Date DOT Form 350-040 Distribution:Original- Contractor Revised 0112020 Copies To-Stale Materials Lab-Structural Materials Eng.:Regional Materials Lab;Project Inspector Mix Design No. 0442A Plant No. 202,203 Aggregate Gradation Q✓ AASHTO 0 Combined Nominal Maximum Size(In) Edit... Aggregates 1 2 3 4 5 Total WSDOT Source No. b B-329 ✓ B-329✓ Source Expiration Date b 06-2023\/06-2023 J ASR Expansion(%)b 0 14 Day Q✓ 1 Year 0.02 0.02 Is ASR Mitigation Required? NO NO Stock Pile Grading` 57 ✓ CLASS 2✓ Percent of Total Aggregate 0 Specific Gravity(SSD) 2.68 2.65 Lbs/cy(ssd) 1860 1260 3120 Include Percent Passing for each aggregate component. Include Total only Percent Passing Total for Combined Gradations. 2 inch 100.00 100.00 100.00 1-1/2 inch 100.00 ✓ 100.00 100.00 1 inch 100.00 ✓ 100.00 100.00 3/4 inch 78.00 100.00 86.88 1/2 inch 30.00 ✓ 100.00 58.27 3/8 inch 8.00 / 100.00 V 45,15 No.4 0.10 V 98.00 ✓ 39.64 No.8 0.10 ✓ 84.20 34.06 No. 16 0.10 68.00 ✓ 27.52 No.30 0.10 47.50 19.24 No.50 0.10 22.80 J 9.27 No. 100 0.10 5.10 V 2.12 No.200 0.10 1.70 V 0.75 Fineness Modulus: 2.75 (Required for Class 2 Sand) Proposed ASR Mitigation Method: None Notes: a Fly ash or GGBFS is required for Class 4000P mix. b Enter data from WSDOT ASA Database.ASR Mitigation is required for sources with 14-day expansions greater than 0.20%. No mitigation is required if the 1-year expansion is less than 0.04%.Proposed mitigation methods for 14-day expansions greater than 0.45%require ASTM C 1567 tests proving that the method is effective.See WSDOT Standard Specification 9-03.1. c Stockpile gradation;AASHTO No.467,57,67,7,8;WSDOT Class 1,Class 2;or combined gradation stockpile sizes.See WSDOT Standard Specification 9-03.1. d Attach test results indicating conformance to Standard Specification 9-25.1. DOT Form 350-040 Distribution.Original- Contractor Revised 01/2020 Copies To-State Materials Lab-Structural Materials Eng.;Regional Materials Lab;Project Inspector 1 vi 1OFFICE: 253.833.3705 FAX: 253.833.3746 400 Valley Ave NE MILES Puyallup,WA 98372-2516 SAND&GRAVEL Concrete Cylinder Report 1 Concrete Mix ID: 0442A 1 AC!318 Performance Approval I Speed Strength. 4,000 Modification Factor 1.000 Number of rests: 311 Standard taewbbon: 636 Average Range(P51)- 17% Fcr=Fc+1.34(s): 4,852 Standard Deviation: 636 Firs Fr a 133(s)-500: 4,981 Coefficient of Variation,V: 9.2% / Within-Test Std 0ev(PSi)r 158 v1 Within-lest Coeff,of war 2.3% Average 4.82 4.7% 67 53 4,220 5,290 Botch-to-BatchStd0ev(PS1P 616 Max: 6.75 7.06 7N 72 5,420 6,N90 Batch-to-Botch Coeff-of Var. 8,9% alin: 3.50 (1.0% 59 37 2,890 4.060 Dalc Slump Air CT AT 7 Day 28 Day 1 06/24/21 5.75 5.0% 75 63 3,880 4,980 06/22/21 5.25 5.0% 78 70 4,370 5,370 03/25/21 4.00 5,5% 70 47 4,120 5,430 J 03/05/21 4.50 5.3% 65 50 4,310 6,050 5 03/02/21 6.00 4.0% 60 43 3,970 5,400 6 02/24/21 6.75 7,0% 62 37 2,890 4,080 01/27/21 4.50 7.0% 60 45 3,850 4,880 it 01/06/21 4.50 5.1% 61 45 5,170 5,990 9 12/23/20 4.50 5.0% 63 41 3,980 5,300 to 12/17/20 4.00 5.5% 59 47 5,030 5,870 11 11/23/20 4.50 5.0% 64 41 4,200 5,090 12 11/09/20 5.25 5,5% 63 43 5,420 6,890 13 08/20/20 5.00 4,2% 78 63 4,140 5,280 14 08/05/20 4.25 4.6% 64 64 3,230 4,290 15 07/31/20 5.50 3.5% 78 59 4,120 4,920 16 07/28/20 6.00 5.5% 72 70 3,360 4,060 17 06/19/20 4.50 4,5% 76 72 3,510 4,400 lx 06/18/20 4.00 4,2% 71 70 4,090 5,250 19 06/09/20 5.50 6.0% 68 54 3,740 4,710 20 06/09/20 5.00 6,0% 69 57 4,490 5,850 21 06/04/20 4.00 5.3% 63 60 4,690 5,560 22 06/02/20 4.50 5.1% 67 54 3,810 4,800 23 05/20/20 4,00 4.9% 70 52 4,130 5,570 24 05/06/20 5.00 5,1% 63 54 4,330 5,230 2s 04/22/20 5.00 5.2% 67 52 4,930 6,090 26 04/20/20 3.50 64 52 4,970 5,690 27 02/17/20 5.00 66 43 4,690 5,830 2.1 02/17/20 4.25 68 46 4,890 5,770 29 02/03/20 5.00 4.9% 65 44 4,120 5,140 30 01/24/20 5.00 5.6% 64 50 4,210 4,950 Miles Sand & Gravel C©mpar, WW W,MILE5.R0CKS mi fa BASF The Chemical Company CHLORIDE ION CONTENT ESTIMATOR OUTPUT Customer I Plant: Comments: Mix ID l Number: 0442A Application: AMOUNT CHLORIDE ION CHLORIDE ION MIX INGREDIENT CONTENT CONTRIBUTION (Ib3) (%by Mass) (Iblyd3) CEMENT 564 0.0050 0.0282 FLY ASH 0 0 0010 SILICA FUME(RHEOMAC SF 100) SLAG CEMENT FINE AGGREGATE 1270 0.007 0.0889 COARSE AGGREGATE#1 1860 0.0050 0.0930 COARSE AGGREGATE#2 0 0.0050 WATER 246 10 (ppm) 0.0025 CHLORIDE ION ADMIXTURE TYPE PRODUCT NAME DOSAGE CONTRIBUTION (Iblyd3) AIR-ENTRAINER: MB AE 90 0 75 (fl oz/cwt) 0.0003 ACCELERATOR (fl oz/cwt) RETARDER: (fl oz/cwt) WATER REDUCER: (fl oz/cwt) MID-RANGE WR: POLYHEED 997 6.0 (ft oz/cwt) 0.0042 HIGH-RANGE WR: (fl oz/cwt) WORKABILITY RETAINER: (fl oz/cwt) VISCOSITY MODIFIER: I I (fl oz/cwt) ASR INHIBITOR: ( (gal/yd3) CORROSION INHIBITOR: (gal/yd3) SHRINKAGE REDUCER: (gal/yd3) COLOR: (Ib/cwt) WATERPROOFING; ( 1 (Ib/cwt) TOTAL CHLORIDE ION CONTENT OF CONCRETE(Ib/yd ) = 0.217 CHLORIDE ION CONTENT(%of Concrete) = 0.006 W-S CHLORIDE ION CONTENT(%of Cement) =1 0.031 / W-S CHLORIDE ION CONTENT(%of Total Cementitious Materials) =I 0.031 v CI • BASF 03 30 00 Cast-in-Place Concrete We create chemistry n03 40 00 Precast Concrete 03 70 00 Mass Concrete MasterAir® AE 90 Air-Entraining Admixture Formerly MB-AE 90" Description Features MasterAir AE 90 air- is Ready-to-use in the proper concentration for rapid, accurate dispensing entraining admixture is for use in concrete mixtures. It Benefits meets the requirements of ■ Improved resistance to damage from cyclic freezing and thawing ASTM C 260, AASHTO M 154 and CRD-C 13. ■ Improved resistance to scaling from deicing salts ■ Improved plasticity and workability Applications ■ Reduced permeability-increased watertightness Recommended for use in: • Reduced segregation and bleeding • Concrete exposed to cyclic freezing Performance Characteristics and thawing Concrete durability research has established that the best protection for concrete from the • Production of high-quality adverse effects of freezing and thawing cycles and deicing salts results from: proper air normal or lightweight content in the hardened concrete, a suitable air-void system in terms of bubble size and concrete(heavyweight spacing,and adequate concrete strength,assuming the use of sound aggregates and proper concrete normally does mixing,transporting,placing,consolidation,finishing and curing techniques.MasterAir AE 90 not contain entrained airy admixture can be used to obtain adequate freeze-thaw durability in a properly proportioned concrete mixture, if standard industry practices are followed. Air Content Determination: The total air content of normal weight concrete should be measured in strict accordance with ASTM C 231, "Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method" or ASTM C 173/C 173M, "Standard Test Method for Air Content of Freshly Mixed Concrete by the Volumetric Method.'The air content of lightweight concrete should only be determined using the Volumetric Method. The air content should be verified by calculating the gravimetric air content in accordance with ASTM C 138/C 138M, 'Standard Test Method for Density(Unit Weight), Yield, and Air Content (Gravimetric) of Concrete.' If the total air content, as measured by the Pressure Method or Volumetric Method and as verified by the Gravimetric Method, deviates by more than 1.5%,the cause should be determined and corrected through equipment calibration or by whatever process is deemed necessary. MASTER' »BUILDERS >OLuTIUNs • MasterAir AE 90 Technical Data Sheet Guidelines for Use Precaution Dosage: There is no standard dosage for MasterAir AE 90 In a 2005 publication from thePortland Cement Association admixture.The exact quantity of_air-entraining.admixture needed (PCA R&D Serial. No, 2789), it was'reported that problematic for a.given air content of concrete varies because,of differences air-void clustering that can potentially lead,to above normal in concrete-making materials.and ambient conditions. Typical decreases in strength was.found to coincide withlate additions of factors that might influence the amount of air entrained include: water to air-entrained concretes. Late additions of water-include temperature, cementitious materials, sand gradation, sand- the conventional practice of holding back water during botching aggregate ratio,mixture proportions,slump,means of conveying for.addition:at the jobsite.Therefore,caution should.be exercised and placement, consolidation and finishing technique. The With 'delayed adctions` of 'Water•.to air-.'entrained concrete. amount of MasterAir AE 90 admixture used will depend upon Furthermore, an air content,check should be performed after the amountof entrained air required under actual job conditions. post-hatching.addition of any other materials to an air-entrained In a trial mixture, use 0.25 to 4 fl ozlcwt (16-260 mL 1CO kg) concretemixture. of cementitious material: Measure the air.content of the trial mixture,and,if needed,either increase or decrease the quantity Product Notes of MasterAir.AE 90 admixture to obtain the desired'air content. Corrosivity — Ncn-Chloride, Nan-Corrosive: MasterAir AE 90 In mixtures containing water-reducing orset-controi.admixtures, admixture will neither initiate nor' promote corrosion :of the amount of MasterAir AE 90 admixture needed may be reinforcing and.prestressing steel embedded'In concrete;:or somewhat less than the amount required in plain concrete. of galvanized floor and roof systems. No calciurn'chloride or Due to possible changes in the factors that can affect the 'other chloride-based ingredients,are used in the manufacture dosage of MasterAir AE 90 admixture, frequent air content of this admixture. checks should be made during the course of the work. Compatibility: MasterAir AE 90 admixture may be used in Adjustments to the dosage should be based on the-amount of combination with'any BASF admixture, unless stated otherwise entrained air required in the mixture at.the point of placement. on the data sheet forthe other product.When used in conjunction If an unusually higher low dosage of MasterAir AE 90'admixture with other admixtures, each admixture must be dispensed is requited to obtain the desired air content, consult your local separately into the concrete mixture. sales representative. In such cases,, it may be necessary to determine that, in addition to a proper air content in the fresh Storage and Handling concrete,.a suitable.air-void system is achieved in the hardened Storage Temperature:MesterAirAE90 admixture should be stored 'concrete. and dispensed at 31°F(-0.5 9C)or higher.Although freezing does Dispensing and Mixing:Add MasterAir AE'90 admixture to the notharrnthisprcdiict,precautionsshoulcibetakentoprotectitfrom concrete mixture using a dispenser designed'for air-entraining freezing.If MasterAirAE90 admixture freezes,thaw at 35°F'(2°C) admixtures,or add manually using a suitable measuring device or above and completely reconstitute by mild mechanical agitation. .that ensures accuracy within plus or minus 3%Of the required Do not use pressurized air for agitation. amount. Shelf Life: MasterAir AE 90 admixture has a minimum shelf For optimum,consistent performance,the air-entraining admixture life of 18 months. Depending on storage conditions,the.shelf should be dispensed on damp,.fine aggregate. If the concrete life may be greater than stated. Please contact your local mixture contains fine lightweight aggregate, field evaluations sales representative regarding suitability for use.and dosage should be conducted to determine the best method to dispense recommendations if the shelf life of MasterAir AE 90 admixture the air-entraining admixture. has been exceeded. Safety:Chemical goggles and gloves are recommended when transferring or handling this material. BASF Corporation Admixture Systems www.r>Itaster-builders-solutions.basfus page 2 of 3 MasterAir AE 90 Technical Data Sheet Packaging Limited Warranty Notice MasterAir AE 90 admixture is supplied in 55 gal(208 L)drums, BASF warrants this. product to be free from manufacturing 275 gal(1040 L)totes and by bulk delivery, defects and to meet the technical properties on the current Technical Data Guide, if used as directed within shelf life. Related Documents Satisfactory results depend not only on quality products Out Safety Data Sheets: MasterAir AE 90 admixture also upon many factors beyond our control. BASF MAKES NO OTHER WARRANTY OR GUARANTEE, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILCTY Additional Information OR FITNESS FOR A PARTICULAR PURPOSE WITH RESPECT For additional information on MasterAir AE 90 admixture,or its TO ITS PRODUCTS. The sole and exclusive remedy of use in developing a concrete mixture with special peformance Purchaser for any claim concerning this product,including but characteristics,contact your local sales representative. not limited to, claims alleging breach of warranty, negligence, The Admixture Systems business of BASF's Construction strict liability or otherwise, Is shipment to purchaser of product Chemicals division is the.leading provider of solutions that equal to the amount of product that fails;tomeet this warranty Improve placement, pumping, finishing, appearance and or refund of the original purchase price of product that fails to meet this performance characteristics of specialty concrete used in warranty, at the sole option of BASF. Any theclaims concerning this product must be received in writing ready-mixed,precast,manufactured concrete products, within one(1) year from the date of shipment and-any claims underground construction and paving markets. For over ,.and innovative not presented within that period are waived by Purchases: 100 years we have offered reliable products BASF WILL NOT BE RESPONSIBLE FOR ANY SPECIAL, technologies, and through the Master Builders Solutions INCIDENTAL,CONSEQUENTIAL(INCLUDING LOST PROFITS) brand, we are connected globally with experts from many fields to provide sustainable solutions for the construction OR PUNITIVE DAMAGES OF ANY KIND. industry. Purchaser must determine the suitability of the products for the intended use and assumes all risks and liabilities in cdnriection therewith. This information and all further technical advice are based on BASF's present knowledge and experience.However, BASF assumes no liability for providing such information and advice including the extent to which such information and advice may relate to existing third party intellectual property rights, especially patent rights, nor shall any legal relationship be created by or arise from the provision of such information and advice. BASF reserves the right to make'any changes according to technological progress,or further deveibpments. The Purchaser of the Product(s) must test the product(s) for suitability for the. intended application .and purpose 'before proceeding with a full application Of the product(s).,Performance of the product described herein should be verified by testing and carried out by qualified experts. NSF hill-AZ 00 bocamn 1,1 1wAirAE$0 under tho Maxtor B,dldrr Soluliorm brand,otfortivi,Jinurry 1,2014. prZien 9ASF Corporation 2016■01r1$®P,R -0%T-0013 BASF Corporation Unitedstays Canada 23700 Chain Bot avard 12C0 Clark Baulcrard Adr7tlxtL ire System. Cllevelard,Oho 44122.5544 Brampton,Ontario 1ST 4i47 www.master-builders-solutions.basf us 1/.4;004 S28• to Fax;2113©30•0 21 Tel,Q00 397.5862 Fax 905 792•0651 page 3 of 3 Engineer Addition Washington State Department of January I0,2022 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: BASF Corporation (formerly BASF Construction Chetnicals, Inc.) - Cleveland, OH Product.Name: MasterAir AE 90 Standard Spec : 9-23.6(1), Concrete Admixture - Air Entraining Admixtures Product Description : Liquid air entraining admixture for concrete. Product Restriction : • Acceptance Code 2250 Code Description :Acceptance is by field verification and the retaining of the Concrete Producer's • Certificate of Compliance Indicating the product and dosage of the admixture conform to the concrete mix design. Last Updated : Nov 27, 2013 To be completed by the field inspector: Quantity: Verified By: Date: , . El ii BASF 1 , 03 30 00 Coot4n-Place Concrete We create chemistry n 1 pa 40 00 Precast,Concreta 0 I 03 70 00 Mass Concrete MasterPolyheed® 997- Mid-Range Water-Reducing Admixture Formedy PolyHeed 997* 'Description . Features r ' ' iviatterlitlyheed 997; 111 True mid-range water reduction(5-15%)and excellent performance across a wide slump admixture is range,especially the difficult slump range of 5-8 in, (125-200 mm) 0-40;$9.1:6P-'0",,r.r<1-i ; E Superior workability,purripabillty and finishability qualities even in concrete mixtures [460;\k.41.0r404019.6' containing low amounts of cernentitiouS materials '1.aiditiiiit4(02104046091.14061. ' •'07.4friiiktcirei moats , is Superior finishing characteristics for residential/commercial flatwork and formed surfaces -ASTIVI.0 494/004m: 16(iiitriieiritrfprt-higier,?;ki,, Benefits .. . water-reducing,and Typiefr; 15 Significantly reduced placement and finishing time resulting in lower in-place ',19h7angewater-re ii0dinpi concrete costs adrnixtUres ;opliootibils: Higher strength at all ages , E Enhanced concrete durability 'ReCtinnnendedfer fiSei-`ki• I Increased service life of concrete structures A Alitericrete li- ti tit . ,10.:$roijizierrorgfc:4•'g' Performance Characteristics -r:i:,..y.".54001:ti,,Otiii*llifi? Mixture Data 500 lb/03(285 kg/m of Type I cement;slump 6,7 in.(150-160 mm);5-6%air; :irilt:lirtiShal3il0 tidalitieii: concrete temperature 70°F(21 *0);ambient temperature,70*F(21 90). 0'.0464?etk in*119*/1 Setting Time Pm/formulae& flatOrk pumped . t cori6Otp:artdpenktis? Initial Set Difference t concrete' -,' , Mixture (h:inin) (luinin) [Ai edrib*totontaining Reference 601 — -manufactured sarlafict MasterPolyheed 997 admixture @ harsh concrete mixtures. , 5 fl oz/cwt(325 rnU100 kg) 622 +021 10 fl oz/cwt(650 mill GO kg) 6:57 +0:56 15 fl oz/cwt(980 mill 00 kg) 7:31 +1:30 1 : MASTER° ))BUILDERS ---; SOLUTIONS MasterPolyheed 997 Technical Data Sheet Compressive'Strength,psi(MPa) Storage and Handling Mixture 7-Day 28-Day Storage Temperature:If Master-Poiyheed 997 admixture freezes, • Plain 2360(16.3) 3320.(22.9) thaw et 35. °F (2 °C)• or above and completely reconstitute �,,.,..,... �..,.,,.,v W,.N.,..r�.,..,...._.,,..,,.._....,.,,,..., by mild mechanical agitation. Do not use pressurized.air for MasterPolyheed 997 admixture Cr agitation. 5 fl oz/cwt(325 MU1.00 kg) 3060(21.1) 3930(27.1) Shelf Life: MasterPolyheed 997 admixture has a minimum 10 fl oz/cwt(650 mU100 kg) 3740(25:8) 4610(31.8) shelf life of 18 months. Depending on storage conditions, the '15 ff oz/cwt(980 m1/100 kg) 4620(31.9) 5460(37.7) shelf life may be.greater than stated.Please.contact your local 'We: The data shown are based on controlled laboratory tests.. sales representative regarding,suitability fo •r Use and dosage Reasonable variations from the results shown hero maybe experienced recommendations if the shelf life'`of MasterPolyheed 997 as a result bi differences in concrete making Materials 'end jobsite admixture has been exceeded. condifians. Packaging Guidelines for Use MasterPolyheed 997 admixture is supplied in 55 gal (206 L) Dosage: MasterPolyheed 997 admixture has.a recommended drums,275.gal(1040 L)totes and by bulk delivery dosage range of 3-15 fl oz kwt (195-980 mL/100.kg) of cementitious material for most concrete.mixes: • Related Documents As the dosage of MasterPolyheed 997.admixture increases to Safety Data Sheets: MasterPolyheed;997 admixture 15 fl oz/cwt(980 mU100 kg)of cementitious materials;normal concrete setting.characteristics are maintained and early and Additional Information ultimate compressive strengths increase. • BASF does not recommend the:use.of dosages outside the For additional information on MasterPolyheed 997 admixture or recommended range without trial testing.-Consult your local •its useindevelopingooncretemrkturesvlithspeclaf:perForrnance sales representative for assistance in determining.the dosage characteristics, corrtact.your local sales representative: for optimum performance. The Admixture Systems business,of BASP's Construction Chemicals division is the leading provider-of solutions that Product Notes Improve. placement, pumping, finishing, appearance and •Corrosivity — Non-lfi[aride, Non-Corrosive: MasterPolyheed performance characteristics of specialty concrete used in the.ready-mixed,precast,manufactured concreteprpducts, 997 admixture will neither initiate nor Promote corrosion of underground construction and.paving markets. For over reinforcing or prestressing steel erribedded in•concrete, or 100 years we have.offered reliable products and innovative of galvanized steel floor and roof systems. MasterPolyheed technologies,.and through the Master Builders Solutions 997 admixture does not contain intentionally added calcium brand, we are connected globally.with experts from many chloride or other.chloride-based ingredients. fields to provide sustainable,solutions for the construction Compatibility: MasterPolyheed 997 admixture may be used industry. in combination with any BASF admixtures. When used in conjunction with other admixtures, each admixture must be dispensed separately into the concrete mixture. BASF Corporation Admixture S+•sterns www.mester-builders-solutions.basf.us page 2 of 3 MasterPol.yheed 997 Technical Data Sheet Limited Warranty Notice BASF warrants this product to be free from manufacturing defects and to meet the technical properties on the current Technical Data.Guide, if used as directed within shalt life. Satisfactory results depend not only on quality products but also upon many factors beyond cur control. BASF MAKES NO OTHER WARRANTY OR GUARANTEE, EXPRESS OR IMPLIED,INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR.A PARTICULAR PLIRPOSEWITH RESPECT TO ITS PRODUCTS. The sole and exclusive remedy of Purchaser for any Claim concerning this product, including but not limited to, claims alleging breach of warranty, negligence, strict liability or otherwise,is shipment to purchaser of product equal to the amount of product.that fails to meet this warranty or refund of the original purchase price of 'product that fails to meet this warranty, at the sole option of BASF. Any claims concerning this product must be received in writing within one(1)year from the date of shipment arid any•Oralms not presented within that period are Waived by Purchaser. BASF WILL NOT BE RESPONSIBLE FOR ANY SPECIAL, INCIDENTAL,CONSEQUENTIAL(INCLUDING LOST PROFITS) 'OR PUNITIVE DAMAGES OF ANY KIND. Purchaser must.determine the suitability of the products for the intended use and assumes all risks and liabilities in connection therewith. This information and all further technical advice are based on BASF's present 1<nciwledge and experience.However, BASF assumes no liability for providing such information and advice Including the extent to which such information and advice may relate:to existing third party intellectual property rights, especially patent rights, nor shall any legal relationship .be created by or arise from the provision of such information and advice. BASF reserves the right to make any changes .according to technological progress or further developments. The Purchaser of the Product(s) must test the product(s) for suitability for the intended application and purpose. before proceeding With a full application of the.product(s).PerformanCe of the product described herein should be verified by testing and carried out by planed experts. tiSt% •Prgyhd 997 bocama hinataiPalyhoed 997,ander tho Musks 13uildemStakition5 ber d, otti%.*January 1,2014, El BASF Caparaaon.2018 01/1S 3 PSE-0A1-0060 UMW Wes Canaria BASF Colporation 237C0 Chagrin Eloulewrd 1800 Clark BaJeverd Admixture Systems Daveland.Chia 44122-5544 Brampton,Cc1orb LOT 4147 www.moster-buikiers-solutions.bestus Tal;600 620-91390 a Fax:216 Erit3-8921 To;600 0E7-502 el Fax;BOB 792.0651 page 3 of 3 • lY YYYYYYn'-Y --n-n. )-Engineer Addition ® Washington State Department of January 10,2022 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: BASF Corporation (formerly BASF Construction Chemicals, Inc.) - Cleveland, OH Product Name: MasterPolyheed 997 Standard Spec : 9-23.6(2), Concrete Admixture - Type A - Water-Reducing Admixtures Product Description : Liquid normal range water reducing admixture for concrete: Type A Product Restriction : Acceptance Code : 2250 Code Description : Acceptance is by field verification and the retaining of the Concrete Producer's Certificate of Compliance Indicating the product and dosage of the admixture conform to the concrete mix design. Last Updated : Jul 31, 2019 To be completed by the field inspector: Quantity: verified By: Date: CONSTRUCTION TESTING LABORATORIES, INC. cT1-: 400 Vafey Ave N.E., Suite 102,Puyallup,WA 98372 Tel N 253.383.877B / Fax N 253.770.8232 wsbsiW:yew.,cttwa.com MISC . LABORATORY TEST REPORT CLIENT Miles Sand& Gravel REPORT DATE December 28, 2021 TITLE MISC. TESTING REPORT 268 PR,ID WA PROJECT 4303 CONTRACTOR NIA NUMBER ORDER o. NrA CRC RN NIA PURCHASE N/A ERR N/A MATERIAL INFORMATION REGUEoATE 8TED ASTM C11T,C123. C142,Wood Waste of D 12-09-2021 MATERIAL L AASHTO Grading#57(W Washed) ce-AIRED EY Client-Alex B. SOURCE Canyon Pit, 8-329 sLeMITTED BY Client-Alex B. OF SAMPLE LAB NUMBER 2 1-1 7 30 LOCATION Stockpile OF SUPPLY ackP I.D.ROMER - MISCELLANEOUS TESTS SULFATE SOUNDNESS SODIUM CLAY LUMPS& FRIABLE 0 0 %REQ. 2.0 max °�WOOD 0 00 %REQ. 0.05 max PARTICLES l L—WASTE COARSE FINE FINE AGGREGATE %REQ. #200 SCREEN 0.3 'A REQ. 1.0 mex SIi.E %LOSS SIZE •.LOSS ANGULARITY SAND EQUIVALENT ORGANIC _ (REF.METHOD) A REQ. i IMPURITIES M REO. 4"-3 Y." Light Weight Pieces, LOOSE UNIT Specific Gravity 2.0 0.0 ''REQ 2.0 max WEIGHT 1t REO. i 3'A"-3' (coal&lignite) 1 — WT PER DEGRADATION R REQ. CUfFT %REQ. 3'-214' RODDED 2W-1 .4' #4-#8 FRACTURE FRACTURE (SINGLE FACE: (DOUBLE FACE) 1 '/.' #8-#1B SIZE RESULT SIZE RESULT - 3 8` #16-#30 ,,,RCQ .s,REQ 3/8'-04 r #30-050 • ,:,REQ REQ TOTAL TOTAL ATTERBERG LIMITS Requirement: PLASTIC Fp REo. i LA ABRASION LiMITjPL) LiIT(L %REQ. Grading: Result: LIMIT XL) PLASTICITFl) %REO. %REQUIRED INDEX INDEX(PI) COARSE AGGREGATE-SPECIFIC GRAVITY FINE AGGREGATE-SPECIFIC GRAVITY SSD Apparent SSD Apparent OVEN DRY I +o ABSORPTION OVEN DRY ".+,ABSORPTION Flat&Elongated RESULT(S)/STATUS Ratio: Flat: By Weight ® Elongated: By Pieces ❑ E Flat&Elongated: Total: Requirement: REVIEWED e' !APPROVED BY LAB REMARKS EQUIPMENT SET* 2, 13, 14 TECHNICIAN B. Rowdenl,i. C. Pedersen REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL,WITHOUT THE WRITTEN APPROVAL OF CONST.TESTING LAB.INC.REPORT PERTAINS ONLY TO THE MATERIAL TESTED.(Revised 08-24-2020) CONSTRUCTION TESTING LABORATORIES, INC. 400 Valley Ave N.E., Suite 102,Puyallup,WA 98372 TM#253-383-8778 t Fax C 253.770-8232 websits:werAztiwa.corn MISC . LABORATORY TEST REPORT LuFN- Miles Sand& Gravel REPORT DATE December 28, 2021 PROiF-.T REPORT T„_e MISC. TESTING NUMB ER266 PROJECT A. Fss N/A PROJECT 4303 trulusea coNTRAc-0R N/A --.- ' WCRT CC TRACT RDPURCHSE -__ VIA ERR NIA ORDER' NIA ORDER ND. N ' oERN0 IWP 1— MATERIAL INFORMATION TEST)Si DATE REQUESTED ASTM C40.C117,C123,C 142 ,H r,Naico 12.09-2021 MATERIAL Concrete Sand(Building Sand) (.:,-PINE,er ' Client-Alex B. SOURCE Canyon Pit,B-329 .-FI.1i i T:u 5n- Client-Alex B. OF SAMPLE _ .. LAB NUMBER 21-1728 • Of SUPPLY TION Stockpile •D.NUMBER - MISCELLANEOUS TESTS SULFATE SOUNDNESS SODIUM CLAY LUMPS 8 %WOOD FRIABLE 0.0 %RED- 3.0 max WASTE "A REQ. COARSE FINE PARTICLES L- FINE AGGREGATE %REQ. Ai200 SCREEN 1.5 %REQ. 2.5 max slat %LOSS SIZE %LO55 ANGULARITY SAND EQUIVALENT %REQ. j ORGANIC Plate#1 %REQ. #3 max 4"—3% (REF METHOD) IMPURITIES Light Weight Pisces, LOOSE UNIT I Specific Gravity 2.0 0.0 1 REQ. 1.0 max WEIGHT %REC' 3 9i —3' (coal S lignite) i_ I [ WT.PER DEGRADATION '%REQ. CUIFT %REQ. 3"-2 W RODDED 2`ii"-1W #4-#8 FRACTURE FRACTURE (SINGLE FACE) I (DOUBLE FACE) 1 IA'-it4" #8-#16 SIZE RESULT SIZE RESULT '/."-3l8- #16-#30 %REQ. %REQ. 3/8"-#4 030-#50 • %REa. %REQ. TOTAL TOTAL ATTERBERG UMITS Requirement: PLASTIC %REQ. LA ABRASION LIMIT(PL) . . LIQUID %REQ. Grading: Result: LIMIT(LL) PLASTICITY %REQ. %REQUIRED INDEX(P1) COARSE AGGREGATE-SPECIFIC GRAVITY FINE AGGREGATE-SPECIFIC GRAVITY SSD Apparent SSD Apparent OVEN DRY %ABSORPTION OVEN DRY %ABSORPTION Flat&Elongated RESULT(S)/STATUS Ratio: Flat: By Weight ® Elongated: By Pieces ❑ Flat&Elongated: Total: Requirement: RE':iE'AvED G,.Arr'RC.EC @t LAB --. _—, REMARKS EQUIPMENT SETS 2, 13, 14, 16 TECHNICIAN B. Rowden/d,, C. Pedersen REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL,WITHOUT THE WRITTEN APPROVAL OF CONST.TESTING LAB,INC.REPORT PERTAINS ONLY TO THE MATERIAL TESTED.(Revised 08-24-2020) fr. State WSDOT MATERIALS LAB 0713112018 fI. Department of Transportation Aggregate Source Approval Report Owner: Miles Sand and Gravel Aggregate Source: PS-B-329 Lessee: Known as: Miles Canyon Road Pit Located in: E1/2SE1/4SE1/4,E3/8NE1I4SE1/4 Section 24 T20N R3E County: Pierce Remarks: Mineral Age.and/Carfadnae Test Date: 11/07/2014 Expiration Date: 11/07/2019 Absorption:1.03 Apparent Sp.G.:2.751 Bunk Sp.G.(SSD):2.703 Bulk Sp.G.:2.676 Deg 79 LA. 11 Remarks: Currently approved as a source of aggregate for: ATB Ballast BST Crushed Cover Stone BST Gushed 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 Portland Cement Concrete Aggregates: Test Date: 05/20/2018 Expiration Date: 06/20/2023 ASR-14 Day:0.51 ASR-One Year 0.02 CCA Absorption:1.02 CCA Sp.G:2.69 Deg:72 FCA Absorption:2.04 FCA Organics:1 FCA Sp G'2,641 LA:11 Remarks: 1-Year ASR Results expire 08/04/2019 - ZK Currently approved for: Coarse Concrete Aggregates Fine Concrete Aggregates Acceptance tests need to be performed as necessary NOT approved for: Riprap,Quarry Spells,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 Spells Rmprap Rock for Erosion and Scour Protection Rock for Rock Walls Stone 9-27.3(6) Streambed Aggregates: Test Date: 06/20/2018 Expiration Date: 06/20/2023 Absorption:1 02 Apparent Sp G 2,737 Bulk Sp.G (SSD):2.69 Bulk Sp.G.:2.662 Deg 72 LA 11 Remarks: Currently Approved tor: Streamoed Aggregate Gravel sorrow for Structural Earth Wails: Test Date: 06/20/2018 Expiration Date: 06/20/2023 Bulk Sp.G.(SSD):2.69 Deg:72 LA:11 Remarks: Contact RME to determine if Resistivity,pH,Chlorides, or Sulfates testing is required Currently Approved for: Gravel Borrow for Sir Earth Walls 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 National Ready Mixed Concrete Association Certificate of Conformance For Concrete Production Facilities NRMCA THIS IS TO CERTIFY THAT Pacific Plant 202, Pacific, WA Miles Sand & Gravel Company has been inspected by the undersigned licensed professional engineer for conformance with the requirements of the Check List for Ready Mixed Concrete Production Facilities. As of the inspection date,the facilities met the requirements for production by Central Mixing with Automatic Batching and Recordings of Cementitious Materials, Aggregate, Water, and Chemical Admixtures oc,CNARkF e� ti p Q,O}� ' Z Signature of Licensed Professional Engineer lb January 21, 2021 April 18, 2023 A 37` ��L ` .,` Inspection Date Certification Expiration Date "iriffetw SUBMITTAL REVIEW This company will maintain these facilities in coml and will correct promptly an cficiencies which develop. X No Exceptions Taken Make Corrections Noted f Amend & Resubmit Rejected-See Remarks Signature of Company Official IMPORTANT NOTICE This review Official does not relieve the Contractor from NOTICE:The Chock List indicates only that plant*Ries are seidegay responsibi I ity to comply&conform rn anco of the cmcn ja i . "iM'°pe c11/13'requk "tints Must a"lied qmati ir"p" with the Plans, Specifications. and This certificate is issued by the National Reedy Weld Canasta Assodeion a Contract Documents mints rims NRMCA Coronation of Reedy Mixed Concrete Production Facilites,OC3.Ur Oda t in legal actin. Plant ID#:801670 4C;ray&Oilbnarive1 In' 7133 CONS LING EtkGINEUt6 ® 1965, 1992,2001, By MB Date:1110I22 National Ready Mixed Concrete Assodatfon 66 Cana Vininle 22314 National Ready Mixed Concrete Association (r(ri Certificate of Conformance For Concrete Production Facilities NRMCaTHIS IS TO CERTIFY THAT Kent Plant 203, Kent, WA Miles Sand & Gravel Company has been inspected by the undersigned licensed professional engineer for conformance with the requirements of the Check List for Ready Mixed Concrete Production Facilities. As of the inspection date,the facilities met the requirements for production by Central Mixing with Automatic Batching and Recordings of Cementitious Materials, Aggregate, Water, and Chemical Admixtures ei c CHAN4.- , zy .' Signature of Licensed Professional Engineer cc 9°AN 1141 , G a .3 4 January 19, 2021 March 19, 2023 it- f .AL' Inspection Date Certification Expiration Date SUBMITTAL REVIEW This company will maintain these facilities in coral and will correct promptly y deficiencies which develop. X NoExceptions Taken /? & 6 Amend g Resubmit Rejected-See Remarks Signature of Company Official IMPORTANT NOTICE. This review Official does not relieve the Contractor from NOTICE:The Check UM indkesaa Doty Mal plant facilities are setletoctoey responsibility to comQty 8 conlorm 0e d Ma concrete tl a apedlket on receeren ens must be mew by tnual € with the Plans, Specifications. and The oertikate a issued by be National Ready hfasd Canasta Association a Contract Documents anents oMa NRMCA Codification of Reedy Mixed Concrete Production Fackiea,OC3.tfr tin legal action. Plant ID It: 801815 t i a,esy E 0e6ornc.Isac: i890 1965,1992,2001. 001.464, r W ENGINEERS National Ready Mixed Concrete Association 66 Cant By MB Date 100/22 woos 22314 ASH GROVE Mill Test Report Plant Seattle Cement Type GU&I-I I Low Alkali Date 21-Oct-21 Production Period September 1.2021-October 1,2021 Certification No. 2021-17 STANDARD REQUIREMENTS ASTM C 150 Tables 1 and 3; CSA Tables 1 and 4 CHEMICAL PHYSICAL Spec.Limit Spec Test Spec Limll Spec Test Item Type GU Limit Result Item Type GU Lint Result SIO2(%) A 19.9 Air content of mortar(volume%) A 12 max 6 A1203(%) ' 6.0 max 4.8 Blaine fineness(m'!kg) A 260 min 383 Fe2O3(%) A 6.0 max 3.4 %Passing 325 mesh 72 moo A 98.8 CaO(%) A A 64.7 Autoclave expansion 1%l 1.0 Max 0.80 max 0.10 M90(%) 5.0 max 6.0 max 0.7 Compressive strength MPa(PSI) min: min: S03(%) 3,0 rnax 3.0 max 2.8 1 Day A A 14.9(2160) Ignition loss(%) 3.0 max` 3.5 max 2.9 3 Days 14.5 12.0 27.4(3970) Na2O(%) A A 0.22 7 Days 20.0 19.0 352(5100) K20(%) A A 0.34 28 Days 26.5 A 43.5(6310 Insoluble residue(%) 1.5 max 1.5 max 0.40 Time of settling(minutes) CO2(%) A A 2.0 Vicat Initial not less than 45 45 100 Limestone 1%) 5 max 5.0 max 1.6 Final not more than 375 375 177 CaCO3 In limestone(%) A 70 min 98 Beat oyl hydration(catrg) Inorganic processing addition(%) A 5.0 max 0.8 7 Days A A 89.8' (Baghouse Dust) Potential phase composition(%)C C3S A A 57 C25 A A 13 C3A A 8 max 7 C4AF A * 10 C4AF+2(C3A) A A 24 C3S+4,75(C3A) A A 90 OPTIONAL REQUIREMENTS ASTM C 150 Tables 2 and 4 CHEMICAL PHYSICAL Spec,Limit Spec. rest Spec Limit Spec Test Item Type GU Limit Result Item Type GU Unlit Result Equivalent alkalies t'A A 0.60 max 0.14 False set(%) A 50 min 88 °Not applicable. °Test resuN represents most recent value and Is provided for Information only. `Adjusted per A1.6. °Fineness: 45{tm sieve,maximum%retained,28. EMI"reported 28 Days are for the previous production period. 'An ignition loss of 3.5%maximum is allowed provided the cement at 550 t 25°C,show a loss in mass of no more then 3.0%. AOpITIONAL DATA Inorganic Processing Addition Date Type Baghouse Dust Amount I%) 0.8 Si02(%) 14.6 A1203(%) 6.5 Fe2O3(%t 1.5 Ca0l%I 10.9 S03(%) 0.7 Base Cement Phase Composition C3S(%) 61 Cgs(%) 14 C3A(%) 7 C4AF(%) 11 We certify that the above described cement,at the time of shipment,meets the chemical and physical requirements of the ASTM C150/C150M-18 specification and the CSA A3001-13 Type GU specification. Signature: Title Chief Chemist Edward C.Rafacz 3801 E Marginal Way S,Seattle,WA 98134; Ph:(206)623-5596; Fax:(206)623.5355 • Engineer,Addition ❑® Washington State Department of January, 10,2022 Qualified Product List Contractor Product Information Contractor: _ Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Ash Grove Cement Company - Seattle,. WA Product Name: Portland Cement Type I, Type I/II low alkali, Type III ; (AASHTQ M-85, ASTM C-150) Standard Spec : 901.2(1), Concrete_Portland Cement Product Description : Manufactured -Seattle, WA: Portland cement Type I,Type I/II low alkali; Distributed from: Seattle; WA, Portland, OR and Spokane, WA- Portland cement Type III distributed from: Seattle,-WA and Spokane; WA, Product Restriction : Acceptance Code: 2525 Code Description :Acceptance based upon the cement Manufacturer's Mill Test Report number being shown on each concrete producer's certificate of compliance. Last Updated : Sep 24, 2012 • To be completed by the field Inspector: Quantity: Verified By: Date: r Washington State '*'/ Department of Transportation Request for Approval of Material Contract Number FA Number NiA 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.A32.114 9-03.14(1) Sand Equiv.CSBS Squak Mountain Gravel Borrow 2 6-03.21(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 g-0321 1 C 1, 2 . 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, 89.05 Project Engineer/Representative Date State Materials Engineer/Representative Date - 1/1 3/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory OAcceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. O2. 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. B. 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. (HO): 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 DRegion Operations Engineer El Fabncation Inspection El Region Materials El State Materials 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 Sieve Size Percent Passi 7 IS4" 99-1 2K" 99-100 - 2" i 65-100 1" 75-100 1G" 50-100 26-44 1 4 26-44 No.4 20-80 J No.No.40 16 max. r--- No.40 3-24 J No.200 9.0 max. J No.200 10.0 max.if Dust Ratio: 15 max. J Sand Equivalent 35 min.Y Sand Equivalent 35 min. T-- U.S.Standard Sieve Opening in Inches U.S.Standard Sieve Numbers Hydrometer Results 100% 20 � a a tv y as 10 16 20 30 40 50 too zoo 0% 90% 1 % -�..--__.... 10% 80% 4 >t� 20% -• 70% i ♦ 30% ▪ 60% . . . w 40% 50°/a i� s., 50% 30°/a %% w 70% IX 2t1% ��` r ♦� 80% 10% �,� ' `�`t . 90% 0% ......,,•• .." 100% 1000 100 10 1 0.1 0.01 0.001 Grain Size in Millimeters Gravels Sands Cobbles Silts Clays Coarse I Fine Coarse I Medium I Fine Date :01 06,'22 Du,- 0.19 CSC'S Classification °%%Gravel %Sand Sample#:20-198 D30=3.25 GP-GM.Poorly graded Gra 61.8% 31.3% Sample ID:Squak Mtn CSBC D6u_ 11.87 Specifications Source:Stock Pile CC=4.57 WSDOT 9-03.9(3)Base Course Project Cu-61.02 Sample Meets Specs %Silt&Clay Location:Squak Mtn Liquid Limit= Na Yes 6.9% Boring#: Plastic Limit= n/a 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 Percent Percent Specs Specs 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% 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% 50.0% #140 0.106 7.7% 1/2" 12.50 61.9% #170 0.090 7.3% 3/8" 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% Copyright,Sre.,r.Engineering&Technical Services PS. 1996-2015 9-03.14(1) Gravel Borrow 9-03.12(2) Gravel Backfill for Walls 9-03.19 Bank Run Gravel Sieve Size Percent Passir g I Sieve Size Percent Passing for Trench Backfill 4" 99-100 Y 1 4" Y 99.100 J 3 Sieve Size Percent Passing ' 2" 75-100 I 2" 75-100 1tf 2" 75-100 T - No.4 50-80 X 22-100 I 5.0 max. X No.4 No.40 30 max. Y %Passin No.200 _ No.200 1r 0-10 , No.200 7.0 max. Dust Ratio: %Passi g No.40 %max. J Dust Ratio: %max. 1r -- Sand Equivalent 50 min. / Sand Equivalent 60 min. X Sand Equivalent 1 30 min. y 11F-7Washington State 1- Department of Transportation Request for Approval of Material Contract Number FA Number N/'°' SR Date + • CAG 20-065 Duvall Ave NE 12/16/2021 Section/Tide 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# 059&061 • • PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code 34, CSTC Black River Quarry 4-04 10 • B6-B9 • • • Project Engineer/Representative -- Date . •State Materials Engineer/Representative Date 12J16/2021 • 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 • P Po " P P 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. 8. Source Approved: • 9. Approval Withheld: Submit samples for preliminary evaluation. 10: Approval Withheld: Per ASA Report, source not approved for CSTC 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 El State Materials Lab-MS 47365 0 WSDOT MATERIALS LAB 12/16/2021 Aggregate Source Approval Report Owner: Kangley Rock&Recycling,Black River Aggregate Source. R5-A-5151 Lessee: Known as: Kancaley Rock&Recycling, Black River Located in: T23N, RANGE4E,SECTION14 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: • T ast 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 Rook Permeable Ballast • • Aggregates far Concrete: Test Date: Expiration Date: ASR-14 Day: ASR-One Year: CCA Absorption: 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: Expiration Date: Absorption: Apparent Sp.G.: Bulk Sp.G.(SSD): Bulk Sp.G.: Deg: Lk Remarks: J • P NOT Approved for: Quarry Spafls 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 St Earth Walls • ALL OTHER PIT RUN MATERIALS: Project Engineer may request preliminary samples but Aggregate Source Approval is notrequired. 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)B PROJECT: Internal Testing DATE: 12/9/2021 LOGAT-ION:-Black River-Quarr-ye SAMPLE SOURCE: A-516 SAMPLE DESCRIPTION: RCA 5/8"Crushed Surfacing Top Course (Type 1G) AGGREGATE SIZE: 5/8" TESTER: Sean SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSING COS 9-03.9 3/4" 0.0 0 100 100 1/2" 0.3 3 98 80 - 100 3/8" 1.1 11 89 #4 3.5 35 65 46 - 66 #40 8.5 85 15 8 - 24 #200 9.9 99 2 0 - 10 PAN 10.0 100 0 WET SAMPLE: 10.4 TOTAL MOISTURE: 3.8% DRY SAMPLE: 10.0 S.E.: 62% FM: 1.20 FRACTURE % 95% DUST RATIO: 10% 'The minimum percent passing the No.50 and No.100 sieves may be reduced to 6 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 S00 lb of cement per cubic yard(C 33.6.2) 411116. � Washington State 1 Depaliment of Transportation Request for Approval of Material Contract Number FA Number NIA SR Date CAG 20-065 Duvall Ave NE 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 f1 060 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL HdgtrJQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Cade Code A35 CSTC Kangley Rock & Recycling 4-04 1, 2, A44-52, 1175, B6-B9 ASA • -Project Engineer/Representative Date State Materials Engineer/Representative Date 12/20/2021 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 0 Acceptance Criteria: Acceptance ptanc:e 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. See Remarks. 1 . 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): 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 ®Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials 0 State Materials Lab-MS 47385 " J . PROJECT: Internal Testing DATE: 12/9/2021 -LOCATION: Black River Quarry SAMPLE SOURCE: A-516 SAMPLE DESCRIPTION: RCA 5/8" Crushed Surfacing TO Course (Type 1 G) AGGREGATE SIZE: 5/8" TESTER: Sean - SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSING cos 9-03.9 3/4" 0.0 0 1.0.0 V 100 1/2" 0.3 3 98 4 80-- 100 • 3/8" 1.1 11 89 #4 3.5 35 . . 65 . .46 - 66_ .#40 8.5 85 15 4 8 - 24 #200 . 9.9 99 •2 4 0 10 PAN 10.0 100 0 • WET SAMPLE: • 10.4 ..__. ._TOTAL-MO1STURE: - 5 a%....._..... DRY SAMPLE: 10.0 S.E.: 62% 4 FM:: 1.20 FRACTURE %. 95% 4 DUST RATIO'. 10% 'The minimum percent passing the No.60 and No.100 sieves may be reduced to 5 and 0,respectivaty,if the aggregate is to be used in air-entrained concrete containing more than 400 lb of cement per cubic yard or in nonairentrained concrete containing more than 500 lb of cement per cubic yard(C 33 6.2) ® 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. • 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 OTM R-PIT-RUN 4ATERIAL-5; 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 Bon-ow 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 WSDC F-Materials Laboratory https://www.wsdot.wa.gov/btz/mats/t 1'L/c?Lrroamto.ctm trroauct n... Washington State Dopartntont 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 r. U WIWashington State Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 • 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# 065 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEJQPL Hdgtr.1QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A35,A43 AS2, CSTCSquak Mountain 43s-es- Tier2 9-03.21(1)C 10 A43.03.02 Bank Run Gravel for Trench Backfill 9-03.19 • -A52.03.02 Tier 1 Squak Mountain-Issaquah 9.-03.21(1)C 1,2 B6-B9 Tier 1 Gravel Backfill for Pipe Zone Bedding 9-03.12(3)_ 1,2 Squak Mountain-Issaquah 9-03.21(1)C Project Engineer/Representative, Date State Materials Engineer/Representative Date 1/3/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory OAcceptance 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. 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: Reclamation facility must be on the QPL as a Tier 2 facility, per WSDOT 9-03.21(1)C. 11. Miscellaneous Acceptance Criteria. See below QPL pages,Squak Mnt out of Issaquah.is.not Remarks currently an approved facility. (PE): Remarks Remarks: - (HQ): Prior to use, provide toxicity testing and certification of toxicity characteristics in accordance with Section 9-03.21(1). 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 ❑X Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materiels Leb-MS 47365 WSDOT-Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLProductsGrid.cfm Washington State Var Department of Transportation Qualified Products List Standard Specification: 9-O3.21(1)C Product Name Spec Title Manufacturer Tier 1 and Tier 2 - Recycled Recycled Concrete Central Pre-Mix (An Oldcastle Infrastructure Concrete Aggregate (RS-C-343) Aggregate Company), Spokane Valley-WA Tier 1 and Tier 3 - Recycled Recycled Concrete Tucci and Sons, Lakewood-WA Concrete Aggregate (RS-B-352) Aggregate Tier 1 and Tier 2 - Recycled Recycled Concrete Kangley Rock & Recycling, Black River, Concrete Aggregate (RS-A-516) Aggregate Renton-WA LTier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-F-211) Aggregate Cowden Gravel & Ready Mix, Bellingham-WA Tier 1 - Recycled Concrete Recycled Concrete American Rock Products, Richland-WA Aggregate (RS-R-189) Aggregate Tier 1 - Recycled Concrete Recycled Concrete American Rock Products, Pasco-WA Aggregate (RS-FN-121) Aggregate Tier 1 - Recycled Concrete Recycled Concrete American Rock Products, Walla Walla-WA Aggregate (RS-O-146) Aggregate Tier 1 and Tier 3 - Recycled Recycled Concrete Pro-Recycle, LLC, Spokane Valley-WA Concrete Aggregate (RS-C-345) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Holroyd Green Products Plant, Tacoma-WA Aggregate (RS-B-351) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Renton Concrete Recyclers, Renton-WA Aggregate (RS-A-519) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Blake Sand &Gravel, Sequim-WA Aggregate (RS-Q-241) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Dickson Company, Tacoma-WA Aggregate (RS-B-350)) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Lenz Enterprises, Inc., Stanwood-WA Aggregate (RS-D-359) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Aggregate (RS-B-349) Aggregate Corliss Resources, Inc., Puyallup-WA LTier 1 - Recycled Concrete Recycled Concrete Corliss Resources, Inc., Enumclaw-WA Aggregate (RS-A-518) Aggregate _ Tier 1 - Recycled Concrete Recycled Concrete Action Materials, Inc., Spokane-WA Aggregate (RS-C-344) Aggregate _ _ Tier 1 and Tier 3 - Recycled Recycled Concrete Concrete Aggregate (RS-D-360) Aggregate Fruhling Sand &Topsoil, Bothell-WA (Tier 1 - Recycled Concrete Recycled Concrete I.V. Riley, Bingden-WA Aggregate (RS-OR-90) Aggregate Tier 1 and Tier 2 - Recycled Recycled Concrete Stampede Sand & Gravel LLC, Easton-WA Concrete Aggregate (RS-S-312) Aggregate Tier 1 and Tier 3 - Recycled Recycled Concrete Miles Resources - Lakeview, Lakewood-WA Concrete Aggregate (RS-B-353) Aggregate Tier 1 and Tier 3 - Recycled Recycled Concrete Concrete Aggregate (RS-D-361) Aggregate Reece Construction Company, Arlington-WA 1 of 2 12/29/2021,8:45 AM WSDOT -Materials Laboratory Qualified Products List(QPL) https://wsdot.wa.gov/biz/mats/QPL/QPLProductsGrid.cfm Tier 1 and Tier 3 - Recycled Recycled Concrete Girard Resources & Recycling LLC, Concrete Aggregate (RS-A-517) Aggregate Covington-WA Tier 1 and Tier 3 - Recycled Recycled Concrete Girard Resources & Recycling LLC, Concrete Aggregate (RS-D-358) Aggregate Snohomish-WA Tier 1 and Tier 2 - Recycled Recycled Concrete Interstate Concrete & Asphalt, Elk WA Concrete Aggregate (RS-C-346) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Black Lake Resources, Littlerock-WA Aggregate (RS-J-217) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Black Lake Resources, Grand Mound WA Aggregate (RS-J-216) Aggregate Tier 1 - Recycled Concrete Recycled Concrete Kitsap Reclamation & Materials, Bremerton- Aggregate (RS-I-118) Aggregate WA Copyright WSDOT© 2016 2 of 2 12/29/2021,8:45 AM ALLIANCE PO Box 2377 Alliance Testing Services (Ai TESTING Renton,WA 98056 425-757-0762 SERVICES Plant 1-Alliance Testing Services Product 68-Squak Mountain CSTC Name/Title Mike Costello/Manager Period: 01/01/2019-04/09/2019 Report Date 04/09/2019 Procedure Sieve/Test Result Unit 9-03.9.3 Crushed Surfacing TC AASHTO T11/27 3/4"(19mm) 100.0 % 100-100 1/2"(12.5mm) 89.4 % 80-100 #4(4.75mm) 49.7 % 46-66 #40(0.425mm) 13.3 % 8-24 #200(75um) 7.60 % 0-10 AASHTO T176 SE 53 >40 AASHTO T335 Fractured Faces(>1) 86 >75 9-03.12(3)Gravel Backfill for Pipe Zone Bedding 9-03.19 Bank Run Gravel ' Sieve Size Percent Passing for Trench Backfill i lid° 99-100 1 Sieve Size Percent Passing 1" 75-100 1 21/2" 7n O '' " 50-100 1 No.4 22-100 J ? No.4 20-80 1 No.200 0-10 ✓ Na.40 3-24 I Dust Ratio: 'h max.iii No.200 10.0 max_J Sand Equivalent 30 min. 1 Sand Equivalent 35 min_ I StonemontQC