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HomeMy WebLinkAboutCAG-20-065 - Duvall - C4 - Lateral Trench Washington State •/ Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 2/15/2022 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# PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL Hdgtr.JQPL HQ Use No. ProductiType Manufacturer or Pit Number Reference Code Code SP 8-31.2 1, 2, C3,C4 Sand Stoneway 9-03.1(2) ASA I Project Engineer/Representative ,) Date State Materials Engineer/Representative Date 2/17/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 10. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 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): Remarks Remarks: (HO): Provide Scale Cert. 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 E Region Materiels ❑State Materals'Lao-MS 47365 Stoneway Concrete Technical Services Aggregate Sieve Analysis PROJECT: Internal Testing DATE: 2/14/2022 LOCATION: Sumner Sand and Gravel SAMPLE SOURCE: B-231 SAMPLE DESCRIPTION: Contractor Sand AGGREGATE SIZE: Sand TESTER: Sean SIEVE WEIGHT PERCENT PERCENT SPECIFICATION SIZE RETAINED RETAINED PASSIN9 N/A 3/8" _ 0.0_ 0 100 ✓ #4 3.2 0 100i #8 113.3 17 83 #16 327.3 48 52 #30 530.1 78 22 #50 612.4 90 10 #100 643.7 95 5 1 #200 655.9 97 3 1 PAN 678.1 100 0 WET SAMPLE: 739.8 TOTAL MOISTURE: 8.3% DRY SAMPLE: 678.1 FM (SAND): 3.28 SE: 62% "The minimum percent passing the No.50 and No.100 sieves may be reduced to 5 and 0,respectively,if the aggregate is to be used in air-entrained concrete containing more than 400 lb of cement per cubic yard or in nonair-entrained concrete containing more than 500 lb of cement per cubic yard(C 33 6.2) SUBMITTAL REVIEW 9-03.1(2)B Class 1 Class 2 X No Exceptions Taken Percent Passing Percent Passing Make Corrections Noted Amend & Resubmit Sieve Size Min. Max. Min. Max. Rejected-See Remarks -©" 99 i 100 99 100 IMPORTANT NOTICE: This review No.4 95 100 95 100 does not relieve contractor from his No.8 68 86 responsibility to comply &conform No. 16 47 65 45 80 with the Plans, Specification, and Contract Documents. No. 30 27 42 No. 50 9 20 10 30 Gray&Osborrie, Inc. No. 100 0 7 2 10 CONSULTING ENGINEERS No.200 0 2.5 0 2.5 By: DRS Date:2/15/2022 ASTM C 136 ASTM C 33 WSDOT MATERIALS LAB 02/15/2022 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 18 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 Wearing 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 CCA Absorption:1.18 CCA Sp.G:2.681 Deg:70 FCA Absorption:2.04 FCAOrganics:1 FCASp.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: Remarks: � + c a ♦ c � c � c � c c O V V V V V V��/V V V cV V V V V Vim/V Vim/�O'V Vp/V Vim/`O'V V V V ',I V V O O O 111111111111111111111_IIIII-1I111i1111117i-IIf�l7r(-�1111111111111111111111IIIIIII I III IIi11111IIII1I I11111illlllllfllllll II lllllllllllllllllllllllllllllill IIIIIIIIIIIIIII II_1 /p u v' = UNITEC Corporation - C '�' ci U17na ec 358 Upland Drive • Seattle,Washington 98188 I _ Gam. ;off _ coi.� ;v, = rrtiftratr of ,Jnsprrtiun = c � = = cam: '�� 1 ��7 (� ,y� / c�V /c��/'N^(,t scale(s) = C This is to certifythat _,/ E. j= 4. Located at: �r/rtjrl oj- 4e�t ' -I � "e-1 'L e,' w _ G J = Gam. -1 = was (were) serviced on this 1 day of OC 6 20 , byan authorized representative of = o p _ G. off = _ Ca. 1 _ the UNITEC CORPORATION. Certified Test Weights traceable to U.S. Government Standards were used. ..1 = A record of said inspection is on file at the above address and in the offices of UNITEC CORPOyRATION. = Go; BY: (206) 575 1100 45. ' -11uii i11111irri i Ilimn i 1111a1111111i1111.1Sill111111 U 1TS1,11111IIl11iSii11111illlijjh ill.!ll111111111111111111(III.ITTI51 1 1.1.1111 a lii,i 11111 11 11111i111111111 nTn= C. /0\/a\/��/a\/T\/^\/E\/"k/0\I9\/0�►/��a",\/��/\/0../\-Pak/��arz`t.i.a.../��/�. /0\is\/0\/"\/"�/�\I?".-Pak "�