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TSI #6.1 & 6A.1 CL 4000P Concrete Resubmittal 4.24.26
PE Appr'l Code Date Project Engineer Distribution State Materials Engineer Distrubution Contractor General File Signing Inpsection Region Operations Engineer Other ___________________________________ Fabrication Inspection M/S 47365 Revised 03/2018 TSI #6.1 & 6A.1 Request for Approval of Material Contract Number FA Number SR Date Hazen High School Pedestrian Signals KINGContractor Sare Electric Subcontractor Transportation Systems Inc TSI #6.1 & 6A.1 3/24/2026 Section / Title of Project County This shall be completed prior to submittal. If this form is not complete at time of submittal it may be returned for information that was omitted. For WSDOT Use Only RAM # Bid Item No. Material or Manufacturer's Product/Type Name and Location of Fabricator, Manufacturer or Pit Number Specification Reference Hdqtr. Appr'l Code 1 CEMENT CONC. CL 4000P ( PED. POLE FOUNDATIONS ) MD# 04432F MILES SAND & GRAVEL - PLT. 202,203 8-20.3(4) CEMENT ASH GROVE, SEATTLE, WA. 8-20.3(4) MASTERPOLYHEED 980 WATER REDUCER MASTER BUILDERS, BEACHWOOD , OHIO 5-05 CONCRETE CURE 1100 WR MEADOWS, 6-04 FIBRE EXPANSION JOINT WR MEADOWS , HAMPSHIRE , IL. 6-04 Project Engineer/Representative Date State Materials Engineer 5. Acceptance Criteria: Only 'Approved for Shipment' or 'WSDOT Inspected' or 'Fabrication Approved Decal' material shall be used. 6. Acceptance Criteria: Submit Materials Certificate of Origin to Project Engineer. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. 8. Source Approved: ______________________________________________________________________________________ 9. Approval Withheld: Submit samples for preliminary evaluation. Approval 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: Submit 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 mateiral. Region Materials State Materials Lab DOT Form 350-071 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks: Washington State Department of Transportation MASTERSET DELVO HYDRATION CONTROL MASTER BUILDERS, BEACHWOOD , OHIO 5-05 AGGREGATE PIT #PS-B-345, PS-A-464 MILES SAND & GRAVEL 9-03 Washington State Department of Transportation I I I I Concrete Mix Design Contractor Submitted By Date Concrete Supplier Plant Location Contract Number Contract Name This mix is to be used in the following Bid Item No(s): Concrete Class: Remarks Mix Design No. Plant No. Cementitious Materials Cement Source Plant Type, Class or Grade Sp. Gr. Lbs/cy Fly Ash a F C Alkali % GGBFS (Slag) a 100 120 Concrete Admixtures Air Entrainment Manufacturer Product Est. Range (oz/cy) Water (Maximum) lbs/cy Is any of the water Recycled or Reclaimed? Yesd No Water Cementitious Ratio (Maximum) Mix Design Density (pcf) Design Performance (Attach Test Data) Average 28-day compressive strength (psi) Average 14-day flexural strength (psi) (Concrete Pavement Only) Concrete Chloride Ion Content (% by mass of cement) Water Soluble Acid Soluble Agency Use Only (Check appropriate Box) 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: PE Signature Date DOT Form 350-040Revised 02/2024 Distribution: Original - ContractorCopies To - State Materials Lab - Structural Materials Eng. ; Regional Materials Lab; Project Inspector Page 1 of 2 Mix Design No. Plant No. Aggregate Gradation AASHTO Combined Nominal Maximum Size (In) Aggregates WSDOT Source No. b 1 2 3 4 5 Total Source Expiration Date b ASR Expansion (%) b 14 Day 1 Year Is ASR Mitigation Required? Stock Pile Grading c Percent of Total Aggregate Specific Gravity (SSD) Lbs/cy (ssd) Include Percent Passing for each aggregate component. Include Total only for Combined Gradations. 2 inch Percent Passing Total 1-1/2 inch 1 inch 3/4 inch 1/2 inch 3/8 inch No. 4 No. 8 No. 16 No. 30 No. 50 No. 100 No. 200 Fineness Modulus: (Required for Class 2 Sand) Proposed ASR Mitigation Method: 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 350-040Revised 02/2024 Distribution: Original - ContractorCopies To - State Materials Lab - Structural Materials Eng. ; Regional Materials Lab; Project Inspector Page 2 of 2 Concrete Mix ID:04432F Spec'd Strength:4,000 Modification Factor:1.000 Number of Tests:30 Standard Deviation:756 Average Range(PSI):429 Fcr= Fc + 1.34(s):5,013 Standard Deviation:756 Fcr= Fc + 2.33(s) - 500:5,262 Coefficient of Variation, V:7.9% Within-Test Std Dev(PSI):380 Within-Test Coeff. of Var.4.0%Average 6.80 0.0%62 47 5,920 7,930 Batch-to-Batch Std Dev (PSI):654 Max:9.00 0.0%75 69 7,800 9,540 Batch-to-Batch Coeff. of Var.6.9%Min:4.00 0.0%55 31 4,480 6,320 Date Slump Air CT AT 7 Day 28 Day 1 02/27/25 7.50 0.0%63 49 6,860 8,880 2 02/25/25 7.50 0.0%59 49 7,800 8,790 3 02/18/25 8.00 0.0%60 42 6,540 8,190 4 01/13/25 8.00 0.0%55 31 5,070 7,310 5 12/12/24 7.50 0.0%60 37 5,840 7,640 6 12/10/24 7.75 0.0%61 35 5,580 7,390 7 12/10/24 8.00 0.0%67 43 5,810 7,370 8 12/05/24 8.00 0.0%63 38 5,820 7,910 9 12/03/24 7.25 0.0%60 39 6,270 8,310 10 11/26/24 7.00 0.0%63 43 6,000 8,290 11 11/26/24 7.50 0.0%62 42 6,900 8,860 12 11/26/24 6.00 0.0%56 42 6,510 8,970 13 11/26/24 7.00 0.0%60 42 6,000 8,390 14 11/26/24 6.50 0.0%62 43 6,770 8,650 15 11/26/24 6.50 0.0%61 43 6,590 9,020 16 10/01/24 5.00 0.0%65 57 4,790 6,930 17 07/19/24 5.00 0.0%71 61 6,920 18 06/13/24 5.75 0.0%68 69 5,380 7,290 19 06/12/24 7.00 0.0%65 60 5,990 8,110 20 05/29/24 7.00 0.0%64 52 5,470 7,670 21 05/28/24 7.00 0.0%63 55 5,110 6,940 22 05/23/24 5.00 0.0%63 52 6,070 7,900 23 04/02/24 5.00 0.0%59 49 6,050 8,080 24 03/13/24 4.00 0.0%55 52 5,560 7,690 25 02/22/24 8.00 0.0%62 44 5,500 7,860 26 02/19/24 8.00 0.0%57 45 6,070 9,540 27 12/04/23 6.00 0.0%56 51 5,660 7,260 28 11/30/23 4.00 0.0%65 36 6,100 8,200 29 09/26/23 9.00 0.0%63 57 5,070 7,330 30 09/11/23 8.25 0.0%75 62 4,480 6,320 ACI 318 Performance Approval Concrete Cylinder Report Washington State Department of Transportation February 13, 2026 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Ash Grove Cement Company - Seattle, WA Product Name: Type IL(X) Blended Hydraulic Cement Standard Spec : 9-01.2(1)B, Concrete - Blended Hydraulic Cement Product Description : Blended Hydraulic Cement Type IL(X), Manufactured by Ash Grove Cement Co. - Seattle Plant, Seattle WA. Per WSDOT Standard Specification 9-01.2(1)B, the value of (X) shall be a minimum of 5% and a maximum of 15%. 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 : Jan 29, 2021 To be completed by the field inspector: Quantity: _________ Verified By: _________ Date: _________ 2/13/26, 9:30 AM Qualified Product List https://wsdot.wa.gov/biz/mats/QPL/QPLPrint.cfm?Product_no=2020037&product_origin=QPL&location_id=46&Std_spec_minor=9-01.2(1)B&Product_…1/1 Washington State Department of Transportation July 15, 2025 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Amrize (formerly Lafarge North America) - Seattle, WA Product Name: NewCem Plus Blended SCM (50 Percent Class F Ash and 50 Percent Slag) Standard Spec : 9-23.13, Blended Supplementary Cementitious Material Product Description : NewCem Plus - Blended SCM - 50% Class F Ash from Centralia and 50% Slag from Seattle Product Restriction : Acceptance Code : 2530 Code Description : Acceptance shall be by receipt of a Manufacturer's Mill Test Report submitted with the concrete mix design and Manufacturer's Mill Test Report number being shown on each concrete producer's certificate of compliance. Note 5 : PEO to verify that the blended SCM material listed on the QPL page is in fact what is being used at the specified percentages. Last Updated : Jul 13, 2022 To be completed by the field inspector: Quantity: _________ Verified By: _________ Date: _________ 7/15/25, 11:32 AM Qualified Product List https://wsdot.wa.gov/biz/mats/QPL/QPLPrint.cfm?Product_no=2022006&product_origin=SME&location_id=323&Std_spec_minor=9-23.13&Product_n…1/1 Description MasterPolyheed 980 ready-to- use water-reducing admixture is very effective in producing concrete with enhanced finishing characteristics and with different levels of workability. MasterPolyheed 980 admixture meets ASTM C 494/C 494M requirements for Type A water-reducing, and Type F, high-range water-reducing, admixtures. Applications Recommended for use in: All concrete applications where superior finishability, workability, and pumpability qualities are desired, in particular, flatwork, pumped concrete, pervious concrete, and harsh concrete mixtures. MasterPolyheed® 980 Mid-Range Water-Reducing Admixture 3 03 30 00 Cast-in-Place Concrete 03 40 00 Precast Concrete 03 70 00 Mass Concrete page 1 of 3 Features True mid-range water reduction (5-15%) and excellent performance across a wide slump range, especially the difficult slump range of 5 to 8 in. (125 to 200 mm) Superior finishability, workability, and pumpability qualities even in concrete mixtures containing low amounts of cementitious materials Superior finishing characteristics for residential/commercial flatwork and formed surfaces Benefits Significantly reduced placement and finishing time resulting in lower in-place concrete costs Higher strength at all ages Enhanced concrete durability Increased service life of concrete structures Performance Characteristics Mixture Data: 517 lb/yd3 (307 kg/m3) of Type I cement; slump 6 to 7 in. (150 to 180 mm); 2 to 3% air; concrete temperature 70 °F (21 °C); ambient temperature 70 °F (21 °C). Setting Time Mixture Initial Set (h:min) Difference over Reference (h:min) Reference 4:02 MasterPolyheed 980 admixture @ 5 fl oz/cwt (325 mL/100 kg) 4:38 +0:36 10 fl oz/cwt (650 mL/100 kg) 5:28 +1:26 Compressive Strength, psi (MPa) Mixture 7-Day 28-Day Reference 4650 (32.1) 5610 (38.7) MasterPolyheed 980 admixture @ 5 fl oz/cwt (325 mL/100 kg) 5330 (36.7) 6060 (41.8) 10 fl oz/cwt (650 mL/100 kg) 6280 (43.3) 7400 (51.0) www.master-builders-solutions.com/en-us page 2 of 3 MasterPolyheed® 980 Technical Data Sheet Guidelines for Use Dosage: MasterPolyheed 980 admixture has a recommended dosage range of 2 to 12 fl oz/cwt (130 to 780 mL/100 kg) of cementitious materials for most concrete mixtures. As the dosage of MasterPolyheed 980 admixture increases to 12 fl oz/cwt (780 mL/100 kg) of cementitious materials, normal concrete setting characteristics are maintained, and early and ultimate compressive strengths increase. Because of variations in concrete materials, job site conditions, and/ or applications, dosages outside of the recommended range may be required. Consult your local sales representative for assistance in determining the dosage for optimum performance. Product Notest Corrosivity – Non-Chloride, Non-Corrosive: MasterPolyheed 980 admixture will neither initiate nor promote corrosion of reinforcing or prestressing steel embedded in concrete, or of galvanized steel floor and roof systems. Neither calcium chloride nor other chloride- based ingredients are used in the manufacture of MasterPolyheed 980 admixture. Compatibility: MasterPolyheed 980 admixture is compatible with most admixtures used in the production of quality concrete, including normal, mid- and high-range water reducers, accelerators, retarders, extended-set control admixtures, air entrainers, corrosion inhibitors, and shrinkage reducers. Do not use MasterPolyheed 980 admixture with admixtures containing beta-naphthalene sulfonate. Erratic behaviors in slump, workability retention and pumpability may be experienced. Storage and Handling Storage Temperature: MasterPolyheed 980 admixture should be stored between 35 and 105 °F (2 and 41 °C). If MasterPolyheed 980 admixture freezes, thaw at 40 °F (5 °C) or above and completely reconstitute using mild mechanical agitation. Do not use pressurized air for agitation. Shelf Life: MasterPolyheed 980 admixture has a minimum shelf life of 18 months. Depending on storage conditions, the shelf life may be greater than stated. Please contact your local sales representative regarding suitability for use and dosage recommendations if the shelf life of MasterPolyheed 980 admixture has been exceeded. Packaging MasterPolyheed 980 admixture is supplied in 3 gal (11 L) pails, 55 gal (208 L) drums, 275 gal (1040 L) totes and by bulk delivery. Related Documents Safety Data Sheets: MasterPolyheed 980 admixture Additional Information For additional information on MasterPolyheed 980 admixture or its use in developing concrete mixtures with special performance characteristics, contact your local sales representative. Master Builders Solutions creates technologies for the construction industry inspiring people to build better. We are active in ~40 countries and operate 35 production sites with over 1,600 employees. We develop, produce, and market high-quality chemical admixtures, as well as adjacent core technologies, to master the challenges of today and support a decarbonized future. Our people are pivotal and pair leading technologies and a strong brand heritage to surpass our customers’ expectations and drive continuous value creation. Technical Data Sheet © Master Builders Solutions 09/23 DAT-1199 ® registered trademark of Master Builders Solutions in many countries of the world www.master-builders-solutions.com/en-us Master Builders Solutions Admixtures US, LLC 23700 Chagrin Boulevard Beachwood, Ohio, 44122-5544 USA 800-628-9990 Master Builders Solutions Canada, Inc. 1800 Clark Boulevard Brampton, Ontario L6T 4M7 CANADA 289-360-1300 page 3 of 3 MasterPolyheed® 980 Limited Warranty Notice Master Builders Solutions Admixtures US, LLC (“Master Builders Solutions”) 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 shelf life. Satisfactory results depend not only on quality products but also upon many factors beyond our control. MASTER BUILDERS SOLUTIONS MAKES NO OTHER WARRANTY OR GUARANTEE, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH 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 Master Builders Solutions. Any claims concerning this product must be received in writing within one (1) year from the date of shipment and any claims not presented within that period are waived by Purchaser. MASTER BUILDERS SOLUTIONS 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 Master Builders Solutions' present knowledge and experience. However, Master Builders Solutions 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. Master Builders Solutions 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 qualified experts. Washington State Department of Transportation February 13, 2026 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Master Builders Solutions Admixture US, LLC (formerly BASF Corp. - Chemicals, Inc.) - Kent, WA Product Name: MasterPolyheed 980 Standard Spec : 9-23.6(2), Concrete Admixture - Type A - Water-Reducing Admixtures Product Description : Chemical 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 : Aug 2, 2019 To be completed by the field inspector: Quantity: _________ Verified By: _________ Date: _________ 2/13/26, 9:19 AM Qualified Product List https://wsdot.wa.gov/biz/mats/QPL/QPLPrint.cfm?Product_no=2019043&product_origin=QPL&location_id=7458&Std_spec_minor=9-23.6(2)&Product…1/1 page 1 of 3 Features Reduced water content required for a given workability Retarded setting time characteristics Improved workability Benefits Provides flexibility in the scheduling of placing and finishing operations Offsets the effects of slump loss during extended delays between mixing and placing Reduces waste associated with concrete washwater and returned concrete Increased strength – compressive and flexural Performance Characteristics Rate of Hardening: The temperature of a concrete mixture and the ambient temperature (forms, earth, air, etc.) affect the hardening rate of concrete. At higher temperatures, concrete hardens more rapidly which may cause problems with placing and finishing. One of the functions of MasterSet DELVO admixture is to retard the set of concrete. Within the normal dosage range, it will generally extend the working and setting times of concrete containing normal portland cement, fly ash, slag cement and silica fume approximately 1 hour to 5 hours compared to a plain concrete mixture. This depends on job materials and temperatures. Field trial mixtures are essential and must be made under approximate job conditions to determine the dosage required for achieving the desired setting time. Compressive Strength: Concrete produced with MasterSet DELVO admixture will develop higher early (within 24 hours) and higher ultimate strengths than plain concrete when used within the recommended dosage range and under normal, comparable curing conditions. When MasterSet DELVO admixture is used in heat-cured concrete, the length of the preheating period should be increased until the initial set of the concrete is achieved. The actual heat-curing period is then reduced accordingly to maintain existing production cycles without sacrificing early or ultimate strengths. MasterSet® DELVO Hydration Controlling Admixture 3 03 30 00 Cast-in-Place Concrete 03 40 00 Precast Concrete 03 70 00 Mass Concrete 31 00 00 Earthwork Description MasterSet DELVO ready-to- use, liquid admixture is used for making more uniform and predictable high-performance concrete. MasterSet DELVO admixture retards setting time by controlling the hydration of portland cement and other cementitious materials while facilitating placing and finishing operations. MasterSet DELVO admixture meets ASTM C 494/C 494M requirements for Type B, retarding, and Type D, water-reducing and retarding, admixtures. Applications Recommended for use in: Stabilization of concrete washwater Stabilization of returned plastic concrete Stabilization of freshly batched concrete for long hauls 4x4™ Concrete Pumped concrete, shotcrete (wet mix) and conventionally-placed concrete Plain, reinforced, precast, prestressed, lightweight and normal weight concrete Pervious concrete Geotechnical grouting and ground improvement www.master-builders-solutions.com/en-us page 2 of 3 MasterSet DELVO Technical Data Sheet Guidelines for Use Dosage: MasterSet DELVO admixture is recommended for use at a dosage of 4 ± 1 fl oz/cwt (260 ± 65 mL/100 kg) of cementitious materials for most concrete mixtures using average concrete ingredients. For long time-to-discharge applications, such as long hauls, dosages higher than the recommended range may be required. Specifically, for shotcrete applications, MasterSet DELVO admixture is recommended for use at a dosage of 1.5 fl oz/cwt to 25 fl oz/cwt (100 mL/100 kg to 1,500 mL/100 kg) of cementitious materials. Because of variations in job conditions and concrete materials, dosages other than the recommended amounts may be required. In such cases, contact your local sales representative. For concrete washwater and returned concrete stabilization, utilize MasterSet DELVO charts to determine the appropriate dosage rates. Product Notes Corrosivity – Non-Chloride, Non-Corrosive: MasterSet DELVO admixture will neither initiate nor promote corrosion of reinforcing steel in concrete. This admixture does not contain intentionally-added calcium chloride or other chloride-based ingredients. Compatibility: MasterSet DELVO admixture may be used in combination with any Master Builders Solutions admixture. When used in conjunction with another admixture, each admixture must be dispensed separately into the mixture. CAUTION: While MasterSet DELVO and MasterLife CI 30 series of admixtures are compatible in the same concrete mixture when added separately, these two admixtures are NOT compatible in the same STORAGE TANK OR CONTAINER, in any ratio, as potentially harmful gas may result from blending the two. Contact a Master Builders Solutions representative if there are any questions regarding admixture storage or admixture compatibility. Storage and Handling Storage Temperature: MasterSet DELVO admixture should be stored above freezing temperatures. If MasterSet DELVO admixture freezes, thaw at 35 °F (2 °C) or above and completely reconstitute by mild mechanical agitation. Do not use pressurized air for agitation. Shelf Life: MasterSet DELVO admixture has a minimum shelf life of 12 months. Depending on storage conditions, the shelf life may be greater than stated. Please contact your local sales representative regarding suitability for use and dosage recommendations if the shelf life of MasterSet DELVO admixture has been exceeded. Packaging MasterSet DELVO admixture is supplied in specially designed 55 gal (208 L) drums, 275 gal (1040 L) totes and by bulk delivery. Related Documents Safety Data Sheets: MasterSet DELVO admixture MasterSet DELVO Technical Data Sheet © Master Builders Solutions 05/24 DAT-0021 ® registered trademark of Master Builders Solutions in many countries of the world www.master-builders-solutions.com/en-us Master Builders Solutions Admixtures US, LLC 23700 Chagrin Boulevard Beachwood, Ohio, 44122-5544 USA 800-628-9990 Master Builders Solutions Canada, Inc. 1800 Clark Boulevard Brampton, Ontario L6T 4M7 CANADA 289-360-1300 page 3 of 3 Additional Information For more information on MasterSet DELVO admixture, contact your local sales representative. Master Builders Solutions creates technologies for the construction industry inspiring people to build better. We are active in ~40 countries and operate 35 production sites with over 1,600 employees. We develop, produce, and market high-quality chemical admixtures, as well as adjacent core technologies, to master the challenges of today and support a decarbonized future. Our people are pivotal and pair leading technologies and a strong brand heritage to surpass our customers’ expectations and drive continuous value creation. Limited Warranty Notice Master Builders Solutions Admixtures US, LLC (“Master Builders Solutions”) 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 shelf life. Satisfactory results depend not only on quality products but also upon many factors beyond our control. MASTER BUILDERS SOLUTIONS MAKES NO OTHER WARRANTY OR GUARANTEE, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WITH 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 Master Builders Solutions. Any claims concerning this product must be received in writing within one (1) year from the date of shipment and any claims not presented within that period are waived by Purchaser. MASTER BUILDERS SOLUTIONS 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 Master Builders Solutions' present knowledge and experience. However, Master Builders Solutions 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. Master Builders Solutions 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 qualified experts. Washington State Department of Transportation February 13, 2026 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Master Builders Solutions Admixture US, LLC (formerly BASF Corp. - Chemicals, Inc.) - Cleveland, OH Product Name: MasterSet DELVO Standard Spec : 9-23.6(3), Concrete Admixture - Type B - Retarding Admixtures Product Description : Liquid set retarding admixture for concrete: Type B 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: _________ 2/13/26, 9:18 AM Qualified Product List https://wsdot.wa.gov/biz/mats/QPL/QPLPrint.cfm?Product_no=2002001&product_origin=QPL&location_id=2301&Std_spec_minor=9-23.6(3)&Product…1/1 WSDOT MATERIALS LAB 09/09/2024 Aggregate Source Approval Report Owner: Miles Sand and Gravel Aggregate Source: PS-B-345 Lessee: Known as: Miles Fennel Pit Located in: NW1/4 SE1/4 AND POR OF GOV'T LOT 5 Section 7 T19N R5E County: Pierce Address: 11621 McCutcheon Rd E, Bonney Lake 98391 Remarks: 47.147041592,-122.216032908 Mineral Agg. and Surfacing: Test Date: 05/13/2021 Expiration Date: 05/13/2026 Absorption: 1.12 Apparent Sp. G.: 2.755 Bulk Sp. G. (SSD): 2.703 Bulk Sp. G.: 2.673 Deg: 71 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: 03/01/2023 Expiration Date: 03/01/2028 ASR - 14 Day : 0.48 ASR - One Year: 0.036 CCA Absorption: 0.97 CCA Sp.G: 2.738 Deg: 81 FCA Absorption: 1.67 FCA Organics: 1 FCA Sp. G: 2.834 LA: 12 Remarks: 1-Year ASR (C1293) results expire 08/31/2028 Currently approved for: Coarse Concrete Aggregates, Pea Gravel 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: NOT Approved for: 9/9/24, 11:42 AM Aggregate Source Approval Report. https://wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=B&pit_no=345 1/2 WSDOT MATERIALS LAB 10/22/2025 Aggregate Source Approval Report Owner: La Pianta Limited Partnership Aggregate Source: PS-A-464 Lessee: Icon Materials, Inc. Known as: Auburn Pit Located in: SW1/4 SW1/4 SEC 28 & 29 Section 28,29, T21N R5E County: King Address: 4040 Kersey Way SE. Auburn WA 98092 Remarks: 47.272618, -122.191378 Mineral Agg. and Surfacing: Test Date: 02/13/2023 Expiration Date: 02/13/2028 Absorption: 1.44 Apparent Sp. G.: 2.754 Bulk Sp. G. (SSD): 2.687 Bulk Sp. G.: 2.649 Deg: 50 LA: 18 Remarks: Currently Approved 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: 05/12/2023 Expiration Date: 05/12/2028 ASR - 14 Day : 0.45 ASR - One Year: 0.037 CCA Absorption: 1.41 CCA Sp.G: 2.638 Deg: 65 FCA Absorption: 2.73 FCA Organics: 1 FCA Sp. G: 2.528 LA: 14 Remarks: Current 1 Year ASR (ASTM C1293) results: 0.037%. Results expire on 12/9/2025 Currently Approved for: Coarse Concrete Aggregates (Other as defined in 6-02.3(2)) Fine Concrete Aggregates Coarse Concrete Agg (Structural and Paving Concrete) 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: 10/22/25, 1:48 PM Aggregate Source Approval Report. https://wsdot.wa.gov/biz/mats/ASA/ASAReport.cfm?prefix=A&pit_no=464 1/3