HomeMy WebLinkAboutWWP273712 (2)D"W h 7NMisP+tlt'tzitlOe
Request for Approval of Material
Contract Number
'AG-I5-118(City ot'Renton No_ WW9-27-03712)
FA Number
SIR
Date
III 6 21)16
Section /Title of Project
Central Renton Suter Interceptor Reline & Upsize
County
King
Contractor
Roald Construction Northwest, Inc.
Subcontractor
This form 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 assistance in completing, see Instructions and Example
For WSDOT Use Only
RAM # 017-1
Bid
Item No.
Material or
Product Type
Name and Location of Fabricator,
Manufacturer or Pit Number
Specification
Reference
PE QPL
Code
HdgtrJQPL
Code
8
Manhole Casting & Cover
Olympic Foundry Inc.,
Seattle WA
Project Engineer
Date
State Materials Engineer
Date
171 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 Critena: Mfg. Cert. of Compliance for 'Acceptance' prior to use of material.
3. Acceptance Criteria: Catalog Cuts for 'Acceptance' prior to use of material. C'ataloc Cut Approved ❑ Y,:, ❑ N".
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.
& Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office.
7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action.
S. Source Approved:
9. Approval Withheld: Submit samples for preliminary evaluation.
10. Approval Withheld
11. Miscellaneous Acceptance Criteria.
Remarks:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12/2012
❑ Region Materials
❑ State Materials Lab
MIS 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
Washington State
VAF Department of Transportation
Request for Approval of Material
Contract Number FA Number SR Date
91/27/2016
Section / Title of Project County
Central Renton Sewer Interceptor
Contractor — -- -
Subcontractor
RCN W
This form shall be completed prior to submittal. If this form is not complete at time of For WSDOT Use Only
submittal it may be returned for information that was omitted y
For assistance in completing, see Instructions and Example RAM #
Bid Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr./QPL
Item No Product/Type Manufacturer or Pit Number Reference Code Code
(Fine Aggregate - Building CA7, A460, D336 Class 2
'Sand _
iCoarse Aggregate, 3/4" tAX125, A460. A 189, D336 AASHTO 57
- { - - - -- - -- ---- - -------- -
!Coarse Aggregate 3/8" X125, A460, A189, D336 AASHT0 8
.Cement Type 1/11 i Lehigh, Delta B.C. 9-01
Fly Ash, Type F Lafarge. Centralia WA 9-23.9
Water Reducer Type A MasterPozaolith 80, BASF 9-23-6(2)
—— ------ - ---
Water Reducer Type F MasterGlenium 7500, BASF i 9-23.6(7) r
i
Air Entraining Admixture MasterAir AE 90, BASF 9-23.6(1)
Water 1 Ciry 9-25.1
}- + --
" I I I I
Project En i r I Date State Materials Engineer I Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. Acceptance Criteria Acceptance based upon 'Satisfactory' Test Report for samples of materials to be incorporated into project.
2. Acceptance Criteria. Mfg. Cent. of Compliance for'Acceptance' prior to use of material.
3 Acceptance Criteria Catalog Cuts for 'Acceptance' prior to use of material. Catalog Cut Approvcd ❑ )'Cs ❑ 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 Material's Laboratory for Approval Action,
8 Source Approved:
9 Approval Withheld: Submit samples for preliminary evaluation.
10. Approval Withheld:
11. Miscellaneous Acceptance Criteria.
Remarks:
Project Engineer Distribution
❑ Contractor ❑ Region Materials
❑ Region Operations Engineer ❑ State Materials Lab
❑ Fabrication Inspection M/S 47365
DOT Form 350-071 EF
Revised ' 2,2012
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
-I/ ==n
rt tale
of ration Request for Approval of Material
Contract Number 1 FA NumberSIR/ Date
Al Section I Title of Project _�_ _7//rO/.6
County
Contractor _.
� Subcontractor ----- --
This form 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
For assistance in completing, see Instructions and Example RAM #
B d Material or Name and Location of Fabricator. I Specification PE/QPL Item No. Product Type Manufacturer or Pit Number Hdqtr./QPL
_ Reference Code Code
H^4 el. i"pGGy-n ✓V»ifr �o�iiru Fig — —
Project Engin r.' Date i State Materials EngineerI Date
Acceptance Action Codes for u e 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.
3 Acceptance Criteria Catalog Cuts for 'Acceptance' prior to use of material Caralug Cui Appro.Ld ❑ 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 CrReria Submit Certificate of Materials Origin to Project Engineer Office
7 Acceptance Criteria Request Transmitted to State Materials Laboratory for Approval Action
E Source Approved
9 Approval Withheld Submit samples for preliminary evaluation
10 Approval Withheld
11 Miscellaneous Acceptance Criteria
Remarks
Project Engineer Distribution
❑ Contractor ❑ Region Materials
❑ Region Operations Engineer ❑ State Materials Lab
❑ Fabrication Inspection M/S 47365
DOT Form 350.071 EF
Revised 1212012
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
aP�'ft 0 it at�P
o�'lallon
Request for Approval of Material
Contract Number
'AG-15-118(City of'Renton No. WW9-27-03712
FA Number ISR
Date
6/13/2016
Section / Title of Project
Central Renton Sewer Interceptor Reline & Upsize
County
King
Contractor
Road Construction Northwest, Inc.
Subcontractor/Supplier
NW Linings & Geotextile Products, Inc.
This form 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 assistance in completing, see Instructions and Example
For WSDOT Use Only
RAM # 017-1
Bid
Item No.
Material or
ProductType
Name and Location of Fabricator,
Manufacturer or Pit Number
Specification
Reference
PE/QPL
Code
Hdgtr./QPL
Code
019
Permeatex 4060
NW Linings & Geotextile Products, Inc.
Kent WA
1-09.14
C
Proje Trlee
Date
(,-; -i¢ -/(�
State Materials Engineer
Date
/ Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. Acceptance Criteria: Acceptance based upon 'Satisfactory' Test Report for samples of materials to be incorporated into project.
2. Acceptance Criteria: Mfg. 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 13 Yes 1:1No
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:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 122012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
Ankh,Wmilldmoon _
wI/ �P■rdeM+t T'r�t�Po�talYa�
Contract Number FA Number
CAG-15-118(City of Renton No. WW9-27-03712)
Section / Title of Project
Central Renton Sewer Interceptor Reline & Upsize
Contractor
Road Construction Northwest. Inc.
Request for Approval of Material
SR Date
2/8/2016
County
King
Subcontractor
Ferguson Waterworks
This form shall be completed prior to submittal. If this form is not complete at time of For WSDOT Use Only
submittal it may be returned for information that was omitted.
For assistance in completing, see Instructions and Example RAM # 017-1
Bid
Material or
Name and Location of Fabricator,
Specification
PE/QPL
Hdgtr./QPL
Item No.
Product/Type
Manufacturer or Pit Number
Reference
Code
Code
7
Detectable Underground
HARRIS INDUSTRIES, INC.
7-08.3(3)B
Tape
Huntington Beach CA
8
Flexible Couplings
_ _
FERNCO INC
Davison MI
7-05.3(5)
7
D3034 PVC Sewer Pipe
Diamond Plastics Corp.
Grand Island, NE
7-12.2
8
F679 PVC Sewer Pipe
Diamond Plastics Corp.
7-12.2
Grand Island NE
8
Renton Sewer
Manhole Cover
East Jordan Iron Works
Marysville WA7
7-05.4
Project En n r`
Date
State Materials Engineer
Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. Accep(ance Criteria: Acceptance based upon 'Satisfactory' Test Report for samples of materials to be incorporated
into project.
2. AcGoptance 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:
11. Miscellaneous Acceptance Criteria.
Remarks:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12/2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
NOW
71tif�pa�alloe
Request for Approval of Material
Contract Number
FA Number
SR
Date
CAG-15-118(City of Renton No. WW9-27-03712
2/8/2016
Section / Title of Project
County
Central Renton Sewer Interceptor Reline & Upsize
King
Contractor
Subcontractor
Road Construction Northwest, Inc.
This form 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
For assistance in completing, see Instructions and Example
RAM # 017-1
Bid
Material or
Name and Location of Fabricator,
Specification
PE/QPL
Hdgtr./QPL
Item No.
Product/Type
Manufacturer or Pit Number
Reference
Code
Code
16
Gravel Barrow
ICON Materials
7-08.3(1)C
Auburn Pit 12001500
16
1 %" Crushed Rock/Recycled
Concrete
Stoneway Concrete Technical Services
Black Rover
7-08.3(1)C
17
1 V Crushed Rock
Quality Aggregates LLC
Lake Francis
5-04.3(5)
17
5/8" Crushed Rock
Quality Aggregates LLC
Lake Francis
5-04.3(5)
?
Project E ' n e
Date
(, '/C' -/
State Materials Engineer
Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. Ac ptance 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.
3. Acceptance Criteria: Catalog Cuts for'Acceptance' prior to use of material. Catalog Cut Approved I] Yes E3 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:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12/2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
7tiw
pi�wnt pa�talise
Request for Approval of Material
Contract Number
AG- I 5-118(City of Renton No. WW9-27-03712
FA Number
SR
Date
2/8/2016
Section / Title of Project County
Central Renton Sewer Interceptor Reline & Upsize King
Contractor
Road Construction Northwest, Inc.
Subcontractor
Lakeside Industries
This form 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 assistance in completing, see Instructions and Example
For WSDOT Use Only
RAM # 017-1
Bid
Item No.
Material or
Product/Type
Name and Location of Fabricator,
Manufacturer or Pit Number
Specification
Reference
PE/QPL
Code
Hdgtr./QPL
Code
21
''/z' HMA for Pavement
Repair Class 1/2" PG 64-22
Lakeside Industries
Covington WA
9-03.8
Pro*
er
c ' t
�,
Date
State Materials Engineer
Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
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.
3. Acceptance Criteria: Catalog Cuts for 'Acceptance' prior to use of material. Catalog Cut Approved ❑ Yes O 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:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12/2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
T��VhddnV10n no"
'// oapa h- d. =2a1hm
Request for Approval of Material
Contract Number
'AG-15-118(C itv of Renton No. WW9-27-03712)
FA Number
SR
Date
67/2016
Section / Title of Project
Central Renton Sewer Interceptor Reline & Upsize
County
King
Contractor
Road Construction Northwest. Inc.
Subcontractor
I Insituform Technologies, LLC
This form 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 assistance in completing, see Instructions and Example
For WSDOT Use Only
RAM # 017-1
Bid
Item No.
Material or
Product Type
Name and Location of Fabricator,
Manufacturer or Pit Number
Specification
Reference
PE QPL
Code
Hdqtr -QPL
Code
10 11,13
14
CIPP
Insituform Technologies, LLC
Batesville, Mississippi
7-21.1
�?
Project En r
Date
State Materials Engineer
Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. A ptance Criteria: Acceptance based upon 'S atis factory' 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. ❑ ❑
3. Acceptance Criteria: Catalog Cuts for'Acceptance' prior to use of material. Catalog Cut Approved Ye, 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:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12/2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
AIIIIIIEW
W11111mid'al- MEW
of ThErwntaUM
Request for Approval of Material
Contract Number FA Number SR Date
A<T-15-1 1h(City of Renton No. NVIA 9-27-03712) 2./8./2016
Section / Title of Project County
Central Renton Sewer Interceptor Reline & Upsize hir1L�
Contractor Subcontractor
Road Constniction North-west, Inc. Miles Sand & Gravel
This form 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
For assistance in completing, see Instructions and Example
RAM # 017-1
Bid
Material or
Name and Location of Fabricator.
Specification
PE QPL
Hdqtr QPL
Item No.
Product Type
Manufacturer or Pit Number
Reference
Code
Code
22
Class 4000 w/ high range
Miles Sand & Gravel
Pacific Kent
1-09.14(2)
/
Z-
23
Class 4000 w/ high range
Miles Sand & Gravel
Pacific, Kent
1-09.14(2)
22
Class 4000
Miles Sand & Gravel
1-09.14(2)
Pacific Kent
23
Class 4000
Miles Sand & Gravel
1-09.14(2)
Pacific Kent
24
Class 4000 w/ high range
Miles Sand & Gravel
1-09.14(2)
Pacific Kent
24
Class 4000
Miles Sand & Gravel
Pacific Kent
1-09.14(2)
18
Control Density Fill
Miles Sand & Gravel
Pacific Kent
1-09.14(2)
Project Engineer
Date
State Materials Engineer
Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. Acc tance Criteria: Acceptance based upon 'Satisfactory' Test Report for samples of materials to b&corpoialed 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 Cur 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
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12Z2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
�1N1�mamb• OrtalYOe
Request for Approval of Material
Contract Number
UAO-1 5-118(City of Renton No. WW9-27-03712
FA Number
SR
Date
11/3/2015
Section / Title of Project
Central Renton Sewer Interceptor Reline & Upsize
County
King
Contractor
Road Construction Northwest, Inc.
Subcontractor
This form 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 assistance in completing, see Instructions and Example
For WSDOT Use Only
RAM # 001-3
Bid
Item No.
Material or
Product7ype
Name and Location of Fabricator,
Manufacturer or Pit Number
Specification
Reference
PE'QPL
Code
Hdqtr./QPL
Code
8
Wasser MC-Aroshield
Wasser High -Tech Coatings, Inc.
Auburn WA'
7-05.3(5)
f
Project Engineer
Date
State Materials Engineer
Date
Aeceptance 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.
3. Acceptance Criteria: Catalog Cuts for'Acceptance' prior to use of material. Catalog Cut Approved ❑ Ye, ❑ 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:
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12l2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
Adw
Tnpo-..P.M.C..
Illaidm
Request for Approval of Material
Contract Number FA Number SR Date
--AG-15-118(City of Renton No. W W9-27-03712 9/24/2015 _
Section / Title of Project County
Central Renton Sewer Interceptor Reline & Upsize King
Contractor Subcontractor
Road Construction Northwest, Inc.
This form shall be completed prior to submittal. If this form is not complete at time of For WSDOT Use Only
submittal it may be returned for information that was omitted.
For assistance in completing, see Instructions and Example IRAM#
Bid
Material or
Name and Location of Fabricator.
Specification
PE/QPL
Hdgtr./QPL
Item No.
Product/Type
Manufacturer or Pit Number
Predl Systems
_ Burnaby, BC
Reference
Code
Code
8
84" ID Sewer Manhole
7-05
Project Engineer Date
State Materials Engineer
Date
Acceptance Action Codes for use by Project Engineer and State Materials Laboratory
1. Acceptance Criteria: Acceptance based upon 'Satisfactory' Test Report for samples of materials to be incorporated into project.
Z 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 ❑ \o
4. Acceptance Criteria: Submit Shop Drawings for 'Approval' prior to fabrication of material.
5. Acceptance Criteria: Only'Approved for Shipment'. 1NSDOT 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.
& Source Approved.
9 Approval Withheld: Submit samples for preliminary evaluation.
10 Approval Withheld:
11 Miscellaneous Acceptance Criteria.
Remarks: it �Ir3'lLCV.FsL ,s rb.rz THe- MN'EVSS15 L/afrVE ovLy!
ALL- S�-Z3M�i�.4,L
OR/C.�in�i1L Sa.B/�i`ifiL '�trl�W a i - �/ 2�1s
Project Engineer Distribution
❑ Contractor ❑ Region Materials
❑ Region Operations Engineer ❑ State Materials Lab
❑ Fabrication Inspection M/S 47365
DOT Form 350-071 EF
Revised 12/2012
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
F--I
Request for Approval of Material
Contract Number FA Number SR Date
CAG-15-1 18(City of Renton No. WW9-27-03712) 8/15/2016
Section / Title of Project County
Central Renton Sewer Interceptor Reline & Upsize King
Contractor
Road Construction North��est. Inc.
Subcontractor
Corliss Resources
This form shall be completed prior to submittal. If this form is not complete at time of For WSDOT Use Only
submittal it may be returned for information that was omitted.
For assistance in completing, see Instructions and Example RAM # 017-1
Bid Material or
Name and Location of Fabricator, Specification
PE/QPL
Hdgtr./QPL
Item No Product/Type
Manufacturer or Pit Number Reference
Code
Code
16
CBSC
Corliss Resoources
Enumclaw A-44
7-08(1)C
7-08.3(1)C
16
CSTC
Corliss Resoources
Enumclaw A-44
16
Gravel Barrow
Corliss Resoources
7-08.3(1)C
Enumclaw A-44
I
I
Project Engineer fCZJ 4e J ��
t �`�— 7° a� �� s
Date
kpp/ i s- i h
State Materials Engineer
Date
I
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.
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:
Project Engineer Distribution
❑ Contractor ❑ Region Materials
❑ Region Operations Engineer ❑ State Materials Lab
❑ Fabrication Inspection M/S 47365
DOT Form 350-071 EF
Revised 12/2012
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
CORLISS RESOURCES
Since 1945
P. O. BOX 487 SUMNER, WA 98390
PHONE: (253) 891-6680 F.XT #2 FAX: (253) 891-6692 ACCT: (253) 826-8384
PREPARED FOR
RCNW
PROJECT
CENTRAL RENTON SEWER INTERCEPTOR
SUNSET BLVD N & N 3RD ST
RENTON, WA
AGGREGATE DATA SUBMITTAL
CONTENTS:
GRADATION REPORTS
AGGREGATE SOURCE APPROVAL
PREPARED BY:
STEVE CORLISS / SALES (253) 278-0237
TONV BOWMAN /QC (253) 377-8861
Monday, August 15, 2016
CONFIDENTIAL
CORLISS RESOURCES
Since 1945
P. O. BOX 487 SUMNER, WA 98390
PHONE: (253) 891-6680 EXT #2 FAX: (253) 891-6692 ACCT: (253) 826-8384
RCNW
CENTRAL RENTON SEWER INTERCEPTOR
Please post on job or where orders are placed from.
SOURCE PLANT
MATERIAL
ENUMCLAW A-44
CSTC 5/8" Minus — 9-03.9 3
ENUMCLAW A-44
CSBC 1 %4" Minus — 9-03.9 3
ENUMCLAW A-44
4" Bank Run — 9-03.14 1 Gravel Borrow
Regular rates may apply for materials not listed here or on quoted price sheet, please contact gravel sales for current pricing
information.
CONFIDENTIAL
P.O. Box 487
CORL/SS RESOURCES 5irin. 1945 AGGREGATE TEST Sumner WA 98390
253-863-1569
REPORT fax-253-863-1568
SAMPLED: 7/21/16
REC'D: 7/21
BY: Matt W.
LAB: C.R.I.
SAMPLE ID# 15-250
MATERIAL: CSTC 5/8" Minus
STANDARD: WSDOT
SPEC #: WSDOT 9-03.9(3) Top Course
SAMPLE SIZE (Ibs): 40lbs
PIT: Enumclaw
USAGE: Subgrade
WEATHER: Sunny
PLANT: Enumclaw
SAMPLED AT: Enumclaw
SAMPLE BLENDED?: No
ROUND:
SAMPLED BY:
TIME:
LOCATION: Stockpile
FINE/COARSE SPLIT? No
SIEVE/WASH SEPARATE? No
FM: 0.49
OTHER:
ALL WEIGHTS ARE CUMULATIVE
TESTING DATE: 7/21/2016
BY:
INITIAL TOTAL WT:
3949.6
1ST DRY (PRE -WASHING):
1804.5
FINAL TOTAL WT. 3604.2
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT SIEVE
WEIGHT
6"
1.75"
5/8"
8.5
410
#50
#200
359,'
5"
1.5"
112"
137.4
#16
#60
#270
4"
1.25"
3/8"
#20
#80
PAN
3602.E
3"
1"
1/4"
930
4100
c 4.36
2.5"
7/8"
# 4
935
4140
U: 107.44
2"
3 4"
48
#40
1
4170
1 DUSTRATIO 0.45090603
SAMPLE RESULTS
SIEVE
% RETAIN
% PASSING
MIN
MAX
SIEVE
% RETAIN
% PASSING
MIN
MAX
6"
## 4
49
51
66
5"
#8
4"
#10
3"
#16
2.5"
#20
2"
#30
1.75"
#35
1.50"
#40
88
12
24
1.25"
#50
1"
#60
7 8"
#80
3 4"
0
100
100
#100
5/8"
0
100
#140
12"
4
96
80
100
#170
3 8"
#200
94
5.6
1
10.0
1 4"
#270
SAND EQUIVALENCY: SINGLE FRACTURED FACE: DOUBLE FF: NO FF:
NOTES: CONFORMS S.E. 65%-- SINGLE FRACTURED FACE 99%
1 ..
VERIFIED BY: QC Mgr. ENTERED BY: Tony Bowman Lead Technician DATE: 7/21/2016
CORL/SS RESOURCES
- Singe1943 AGGREGATE TEST P.O. Box 487
fifffba Sumner WA 98390
253-863-1569
REPORT fax 253 863 1568
SAMPLED: 6/21/16
REC'D: 6/21
BY: T. Bowman
LAB: C.R.I.
SAMPLE ID# 15-219
MATERIAL: CSBC 1 1/4" Minus
STANDARD: WSDOT
SPEC #: WSDOT 9-03.9(3) Base Course
SAMPLE SIZE (Ibs): 50lbs
PIT: Enumclaw
USAGE: Subgrade
WEATHER: Sunny
PLANT: Enumclaw
SAMPLED AT: Enumclaw
SAMPLE BLENDED?: No
ROUND:
SAMPLED BY: T. Bowman
TIME: 11:30am
LOCATION: Stockpile
FINE/COARSE SPLIT? No
I SIEVE/WASH SEPARATE? -
FM: 0.69
OTHER:
ALL WEIGHTS ARE CUMULATIVE
TESTING DATE: 6/21/2016
BY:
INITIAL TOTAL WT:
14406.4
1ST DRY (PRE-WASHING)
14104.2
FINAL TOTAL WT: 14104.2
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT SIEVE
WEIGHT
6"
1.7S"
5/8"
3858.9
#10
450
#200
13810.2
5"
1.5"
1/2"
6414.0
#16
#60
#270
4"
1.25"
u.0
3/8"
#20
#80
PAN
14080.2
3"
1"
251 8
1/4"
#30
#100
4.55
2.5"
11
7/8"
#4
#35
#140
u 112.57
2"
3 4"
1742 F
#8
#40
1
#170
1 DusTRATiO 0.31474146
SAMPLE RESULTS
SIEVE
% RETAIN
% PASSING
MIN
MAX
SIEVE
% RETAIN
% PASSING
MIN
MAX
6"
# 4
69
31
25
45
5"
#8
4"
#10
3"
#16
2.5"
#20
2"
#30
1.75"
#35
1.50"
#40
93
7
18
1.25"
0
100
100
#50
1"
2
98
80
100
#60
7 8"
#80
3 4"
12
88
#100
5 8"
27
73
80
#140
12"
45
55
#170
3 8"
#200
98
2.1
1 7.5
1/4"
1
1 #270
SAND EQUIVALENCY: SINGLE FRACTURED FACE: DOUBLE
FF: NO FF:
NOTES: CONFORMS S.E. 62% SINGLE FRACTURED FACE 99%
VERIFIED BY: QC Mgr. ENTERED BY: Tony Bowman Lead Technician DATE: 6/21/2016
�,„�r rq,� P.O. Box 487
CORLISS RESOURCES AGGREGATE TEST Sumner WA 98390
253-863-1S69
REPORT fax-2S3-863-1568
SAMPLED: 7/5/16
REC'D: 7/5
BY: Matt W.
LAB: C.R.I.
SAMPLE ID4 15-232
MATERIAL: 4" Bank Run
STANDARD: WSDOT
SPEC #: WSDOT 9-03.14(1) Gravel Borrow
SAMPLE SIZE (Ibs): 50lbs
PIT: Enumclaw
USAGE: -
WEATHER: Overcast
PLANT: Enumclaw
SAMPLED AT: Enumclaw
SAMPLE BLENDED?: No
ROUND:
SAMPLED BY: Matt W.
TIME: 8am
LOCATION: Stockpile
FINE/COARSE SPLIT? No
SIEVE/WASH SEPARATE? No
FM: 0.34
OTHER:
ALL WEIGHTS ARE CUMULATIVE
TESTING DATE: 7/5/2016
1
BY:
INITIAL TOTAL WT:
15453A
1ST DRY (PRE -WASHING)
14837
FINAL TOTAL WT: 14482.6
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT
SIEVE
WEIGHT SIEVE
WEIGHT
6"
1.75"
5/8"
#10
950
#200
11,162.2
5"
1.5"
112"
37414
#16
#60
4270
4"
0.0
1.25"
3/8"
#20
#80
PAN
14182.6
3"
1"
1/4"
#30
#100
UC73.85
2.S"
7/8"
#4
5098.0
#35
#140
a 93.88
2"
1732.6
1 3 4"
1 t18
#40
1
1 4170
ousrRAno 0.35546282
SAMPLE RESULTS
SIEVE
% RETAIN
% PASSING
MIN
MAX
SIEVE
% RETAIN
% PASSING
MIN
MAX
6"
# 4
34
66
80
5"
#8
4"
0
100
#10
3"
#16
2.5"
1
#20
2"
12
$$
1 100
#30
1.75"
#35
1.50"
#40
93
7
30
1.25"
#50
1"
13
$7
#60
7 8"
1
1
#80
3 4"
21
79
#100
5 8"
#140
1 2"
25
75
#170
3 8"
#200
97
2.5
7.0
1 4"
#270
SAND EQUIVALENCY: I SINGLE FRACTURED FACE: DOUBLE
FF: NO FF:
NOTES: CONFORMS S.E.71%
VERIFIED BY: \ QC Mgr. ENTERED BY: Tony Bowman Lead Technician DATE: 7/5/2016
Aggregate Source Approval Report page i of i
411110111►
0 Department of Transportationshinizilori State WSDOT MATERIALS LAB 05/02/2014
Aggregate Source Approval Report
Owner: Corliss Resources, Inc.
Aggregate Source: PS-A-44
Lessee: Known as: Enumclaw Pit
Located in: SE 1/4 SW 1/4 SEC 20; NW 1/4 NW 1/4 SEC 29 Section 20,29, T20N R7E County: King
Remarks:
Degradation factor for Concrete Aggregates: 40 (5/02/14 GSW)
Pit Run Materials:
At the discretion of the Project Engineer, preliminary samples for Gradation and Sand Equivalent tests may be performed to determine if the
material does in fact meet the specification for the intended use:
Backfill for Rock Wall Backfill for Sand Drains Bedding Material for Rigid Pipe
Bedding Material for Thermoplastic Pipe Foundation Material for Classes A. B or C Gravel Backfill for Drains and Drywells
Gravel Backfill for Foundation Class B Gravel Backfill for Pipe Zone Bedding Gravel Backfill for Walls
Gravel Borrow Sand Drainage Blanket Select or Common Borrow
No Preliminary Tests are required to be performed by the State Materials Lab
Gravel Base: Test Date: 09/29/2009 Expiration Date:
Drainage Free R Value 69 Swell Pressure 0
Contact the Regional Materials Office to request PRELIMINARY SAMPLES be acquired. Evaluation and approval of this site as a source of GRAVEL
BASE is required prior to use.
Mineral Agg. and Surfacing: Test Date: 04/14/2014 Expiration Date: 04/14/2019
Absorption Apparent Sp G Bulk Sp G. (SSD): 2.677 Bulk Sp G
Deg 59 LA 17
Currently approved a, a sz)urce 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 Backfili 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: 05/02/2014 Expiration Date: 05/02/2019
ASR - 14 Day 0 031 ASR - One Year CCA Absorption 1 61 CCA Sp G 2 676
FCA Absorption 2 12 FCA Organics 2 FCA Sp G 2 648 LA 16
Mortar Strength Petrographic Analysis.
Currently approved for:
Coarse Concrete Aggregates
Fine Concrete Aggregates
Acceptance tests need to be performed as necessary
IRiprap and Quarry Spalls: Test Date: Expiration Date:
Please see Remarks for Riprap and Quarry Spalls results.
Contact the Regional Materials Office to request PRELIMINARY SAMPLES be acquired. Evaluation and approval of this site as a source of RIP RAP
AND QUARRY SPALLS is required prior to use.
Distribution: Physical Testing Project Engineer_ __- Region Operations Region Materials
Aggregate Source Approval System
http://www.wsdot.wa.gov/biz/tiiats'ASA 'ASA Report.cftn?prefix=A&pit_no=44 5/2i2014
Washington State
VAr Department of Transportation
Request for Approval of Material
Contract Number FA Number SR Date
CAG-15-118 6/ 13/2016
Section / Title of Project County
Central Renton Sewer Interceptor Reline & Upsize King
Contractor Subcontractor
Road Construction Northwest, Inc.
This form 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
For assistance in completing, see Instructions and Example
RAM #008
Bid
Material or
Name and Location of Fabricator, Specification
PE/QPL
Hdgtr./QPL
Item No.
Product/Type
Manufacturer or Pit Number Reference
Code
Code
3
Trench Excavation Safety
stems
Note 5, sht 4 of
Plans
Project ngi eer Date State Materials Engineer Date
Acceptance Action Codes for us by Project Engineer and State Materials Laboratory
1. ceptance 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.
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:
g. Approval Withheld: Submit samples for preliminary evaluation.
10. Approval Withheld:
11. Miscellaneous Acceptance Criteria.
Remarks: A t�, zrHee-, v4 PLAN �[>.e -771 A%7l '_ �!/+� /E%2 ji?,�[c.�s -zWd
G STq�7P Xji �12iI�S.o w! �ifKq/A/��Ie % /✓o7T 5 af= �fl�'T¢ /r
Sv,.s -✓ /2,c.vc./.s 4-,..aTi'1Z
Project Engineer Distribution
❑ Contractor
❑ Region Operations Engineer
❑ Fabrication Inspection
DOT Form 350-071 EF
Revised 12/2012
❑ Region Materials
❑ State Materials Lab
M/S 47365
State Materials Engineer Distribution
❑ General File ❑ Signing Inspection
❑ Other
Ljtdw esc,`r vy q,-I,jDAILY INSPECTION DIARY
DAY: I-L,,,,A,,5 L I DATE: �/9j /16 WORK PERIOD: a.m./p.m. to
WEATHER: TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
Ce,,+.c,) =v,,+& -c cArer-
Cxr � C H
titer-cty�'
to �^ o� Ex�ed yes do• �, .�; a w.�-, -�--=
a.m./p.m.
REPORT
Cnw ; wS*zued `is L F Z `t " PVC- dew ti- P" 1Pe-, D
Lked A G%4-- 5U,-4,,,{ , 541,1 4.A fie- Q a A e+We e&,. ` -t, e--
Co"O U.o�E �' `�•. S�-vr,.c�-w�L �.. a�y f-Sc' ct o-t= 'j'L�e r`i " /��
sfit e-1 P - Pe- e,
CL b0'- 3 D G. F �a.st o-� S� N �i(�t�'i, T�-,c 4 ►'A e
ok-+ J- S' c clt ,F *-,-,t r}-v e "e-L.. Ip e- LA.-- 4 d V ve,c't--t CA"
'r e 4fi-e�i A fi'° Q lea Cvew +-l�s- ce
�, µ-. v� U�1.0 d ty C�- -tv
UP a \-j r e w,-w c 1't� UL-,- _ cw
T Cru,, 0, t t -t-va,-kFc ez,�,+Vo) re-
5 6 ,4 0.
VVl\11XC1\ lvlx 0lvllt%luni; llvarzulun alunAlunn
DATE:
12!
% 2-o/ a, `
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y
c
80'
N —REMOVE EX 72" DIA BRICK
- 1 — MH AND REPLACE WITH
- NEW 84" DIA SMH 1968.
r /
M
Oa Z _ t- •c .�- r n-'° # n/ "// --- ci r; �/ j -./. iy--. i-
_' PER DETAIL 1/C-2
PK2 STA 1+00
OFFSETVRTN N 181163.90 no - SEE NOTE 5
E 130374.48
I
2
AB-2 TYP
STA 1+00 9
N 181167,65 TYPE 1303802.054.0
o To zo ti SEE DETAIL 1/C-2 2a" SS
PVC
Scare In Feet AB-1 AS REQUIRED
1+50
fl
L
GB-15 ° �' -/ �� , .�" 8 TYP RZ VO
5CP SS
-- -
} 3 \
- _
EX 15" CONC SS
EX 24" VCP SS, SEE DWG C-3 FOR
-
BNSF PREMISES: \/ L r
\ / / SEWER RELINE REQUIREMENTS
WORK SHALL COMPLY WITH THE
PROJECT'S BNSF TEMPORARY
OCCUPANCY PERMIT AND THE PROTECT EXIST UTILITIES, TYP
EXISTING RIGHT OF WAY
REQUIREMENTS NOTED ON 2c �c AC
THESE PLANS AND IN THE m ENTERPRISE CAR RENTAL /
SPECIFICATIONS, SEE NOTE 4.
65
CONSTRUCTION NOTES:
O1
REMOVE AND REPLACE PAVEMENT PER RENTON STD
PLANS 110 AND 110.1. EXISTING PAVEMENT THICKNESS
IS ANTICIPATED TO BE 6" OF ASPHALT OVER 4" OF
60
CONCRETE. NEW HMA SHALL MATCH TOTAL THICKNESS
OF EXISTING PAVEMENT (-10"), CONCRETE BASE SHALL
NOT BE REPLACED
2O
REMOVE AND REPLACE SIDEWALK, CURB AND GUTTER,
55
AND PAVEMENT PER RENTON STD PLANS 102 AND 103,
AND PER WSDOT STD PLAN F-10.12-02.
O3
REMOVE EXISTING 6' CHAIN LINK FENCE AS NECESSARY
AND REINSTALLIREPLACE FENCE TO MATCH EXISTING.
50
4O
REMOVE AND REINSTALL DISTURBED RAILROAD TIES
BETWEEN BARK AND GRAVEL LOT TO MATCH EXISTING.
OS
REMOVE SOIL IN 3' LAYERS AROUND MH TO PREVENT
45
SOIL LOADING ON ONE SIDE OF THE MH.
f
tL
O6
CUT UPSIZED PENETRATION WITH POWER SAW, NO
Z
HAMMERING ALLOWED. CONNECT NEW SEWER PIPING
0 4111
WITH NPC WATERSTOP GROUTING RING, OR EQUAL. FILL
Q
VOID WITH NON SHRINK GROUT.
W
O7
REMOVE AND REPLACE MH CHANNEL PER SPECIAL
J
w
PROVISIONS SECTION 7-26, EXCEPT EXTEND CHANNEL
35
HEIGHT TO TOP OF 24" SS.
O
REMOVE EXISTING VEGETATION AS NECESSARY AND
REPLACE WITH SEED, FERTILIZER AND MULCH.
O9
REMOVE AND REPLACE DISTURBED GRAVEL AND BARK
30
TO MATCH EXISTING.
10
TRENCH BACKFILL SHALL BE CSTC FOR ALL SEWER
UNDER PAVEMENT. NATIVE MATERIAL FOR TRENCH
25
BACKFILL MAY BE USED ELSEWHERE PROVIDED IT
MEETS THE REQUIREMENTS OF GRAVEL BORROW PER
WSDOT SECTION 9-03.14(1). INSTALL UNDERGROUND
WARNING TAPE IN TRENCH PER SPECIAL PROVISIONS
SECTION 7-08.3(3)8.
20
11
CONSTRUCTION C/L EQUALS PIPE C/L.
12
REPLACE CHANNELVATION MARKERS PER RENTON STD
PLANS H007, 109 AND 109.1.
15
EX"18" PVC 35 T
. -/ --
- --7-F_x6O"CIA
/
1
SMH 4692
SADDLE TYPE
f
TYP 8 6"
r
MIN
STA 2+27t r r
MIN
MIN�GB-14
PK 1
`N181151.07
E 1303866.48 TYP
5
r
l
I
EL 53.98/
I
EX 12 VCP SS AND .
SMH PLUGGED
11 CONSTRUCTION /I3
W _ rr /� CENTERLINE !b
- —
-_ - _ _ ----
AND,ABANDONED '
/ -
\l
AI' ��
BELDW GRADE
2
ca
; 11 l '
•
Lll
65
NOTES:
1. CONTRACTOR SHALL PREPARE AND SUBMIT FOR REVIEW AND APPROVAL A
TRAFFIC CONTROL PLAN FOR WORK IN SUNSET BLVD N. THE TRAFFIC
CONTROL PLAN SHALL BE APPROVED BY THE ENGINEER PRIOR TO
so BEGINNING ANY WORK IN SUNSET BLVD N AND BE IN ACCORDANCE WITH THE
CITY APPROVED ROW PERMIT TO BE OBTAINED BY THE CONTRACTOR SEE
DWG G-2 FOR ADDITIONAL TRAFFIC CONTROL NOTES.
2 SEE SPECIAL PROVISIONS SECTION 7-27 FOR TEMPORARY SEWER BYPASS
55 PUMPING/SYSTEMS REQUIREMENTS.
3. REFER TO GEOTECHNICAL ENGINEERING REPORT (AVAILABLE FOR
REFERENCE ONLY) FOR INFORMATION ON PROJECT SOIL BORINGS AB-1,
AB-2, GB-14 AND GB-15.
SD 4. SEE GENERAL BNSF NOTES AND REQUIREMENTS ON DWG G-2.
5, ALL MANHOLE EXCAVATION SHALL HAVE AN ENGINEERED SHORING PLAN (PE
SEALED) APPROVED BY BNSF PRIOR TO CONSTRUCTION. CONTRACTOR
SHALL SUBMIT SHORING PLAN THREE WEEKS PRIOR TO CONSTRUCTION FOR
45 ENGINEER AND BNSF APPROVAL. SEE WSDOT SECTION 2-09 FOR
STRUCTURAL SHORING REQUIREMENTS.
6. SEE GENERAL CONSTRUCTION SEQUENCE NOTES ON DWG G-2.
7. THE LOCATION OF EXISTING UTILITIES SHOWN ARE APPROXIMATE; TAKEN
40 FROM UTILITY LOCATE MARKINGS AND/OR AVAILABLE RECORD DRAWINGS.
DEPTHS OF WATER, NATURAL GAS, AND UNDERGROUND POWER,
TELEPHONE, CABLE, AND/OR FIBER OPTIC MAINS AND SERVICES ARE
UNKNOWN. EXACT LOCATIONS MUST BE DETERMINED BY THE CONTRACTOR
PRIOR TO AND DURING CONSTRUCTION. THE CONTRACTOR IS RESPONSIBLE
35 FOR ANY AND ALL DAMAGES CAUSED DUE TO FAILURE TO LOCATE AND
PRESERVE ANY/ALL EXISTING UTILITIES.
8. EROSION CONTROL MEASURES SHALL BE PROVIDEDAMPLEMENTED AS REQD
AND APPROPRIATE IN ACCORDANCE WITH THE EROSION CONTROL NOTES
ON DWG G-2 AND APPLICABLE CITY OF RENTON STD PLANS.
30
9. REMOVE AND DISPOSE OF EXISTING SEWER PIPE, MANHOLE AND
APPURTENANCES IN ACCORDANCE WITH THE SPECIFICATIONS.
10. THE LOCATION AND DEPTH OF EXISTING SEWER, MANHOLES AND RELATED
Y5 APPURTENANCES ARE APPROXIMATE AND SHALL BE FIELD
VERIFIED/LOCATED BY THE CONTRACTOR TO RECONNECT AND/OR TIE-IN
NEW AND EXISTING SYSTEM FACILITIES. ADJUSTMENTS SHALL BE MADE AS
REQUIRED AND NECESSARY.
11. ALL EXCAVATIONS SHALL BE CLOSED UP OR PROTECTED AT THE END OF
20 EACH WORK DAY.
12. SEE SPECIAL PROVISIONS SECTION 1.08.13 Call 48 Hours
FOR SPECIFIC WORK CONSTRAINTS. Before You Dig
is 1-800-424-5555
UNDERGROUND SERVICE
BHC Consultants, LLC
1601 Fitlh Avenue, Suite 500 « y0 k s - >Q KPc HORIZ: 1 "=10'-D' ^�"^ .�rw�«, CITY OF n,<
seame,vva5r nfltGnaetol VERT. , =5-o RELINE & CENTRAL RENTON SEWER INTERCEPTOR Y 2o1s
J N T. wMrtEHOUSE. P.E UPSIZE PROJECT
CONSULTANTS RENTON
20066.55005.3408 (fax) *e ws.f e� + 9 ¢c ISSUED FOR BID TJw 05/2015 JSK o�51MON DATUM
SEATTLE TACOM, viww.btleeonsultarlts.Gom 0g. cr srea�R,E" Fss ie0. J. 1(RESMEL. P.E. Public works Dept. SEWER UPSIZE PLAN & PROFILE mot✓— j
'9.N^ice 5�1yll7 ,�"U NO. REVISION BY DATE APPR p. DDORN, P.E. �a
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Scale 0 Fee!
SCHEDULE - CURED IN PLACE PIPE FOR SANITARY SEWER
STREET
UPSTREAM
APPROX DEPTH TO
DOWNSTREAM
APPROX DEPTH TO
EXISTING PIPE
APPROX
APPROX* 1
MANHOLE
PIPE INVERT
MANHOLE
PIPE INVERT
MATERIAL
PIPE SIZE
RUN LENGTH
LATERALS TO
REINSTATE
N 4TH ST
1968
11.3 FT
1967
4A FT
VITRIFIED CLAY
24"
456 FT
3
N 4TH ST
1967
4.8 FT
2019
5.6 FT
VITRIFIED CLAY
24"
203 FT
0
TOTAL
24"
659 FT
3
BHC Consultants, LLC
1601 Fifth Avenue, Suite 500
Seattle Washington 98101
CONSUL ANTS
2065053400
206.505-3406 (fax)
SEATTLE TACOMA
w bhcconsuftants com
CIPP PLAN AND SCHEDULE
PLAN
SCALE. 1' - W-T
DES Wy Y S.
n H
PSIS
s G TEtb 2`O ISSUED FOR 810
�1y�15 '� AL N0. REVISION
T. WIp TEHOUSE. I
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TJW 05/2015 JSK
J KRESK1. P E.
BY DATE APPR
R. DORN. a.E.
A$ NOTED wu`on".'�°Hww.
DATUM
NOTES:
1. CONTRACTOR SHALL PREPARE AND SUBMIT FOR
REVIEW AND APPROVAL A TRAFFIC CONTROL PLAN
FOR WORK IN N 4TH ST. THE TRAFFIC CONTROL PLAN
SHALL BE APPROVED BE THE ENGINEER PRIOR TO
BEGINNING ANY WORK IN N 4TH ST AND BE IN
ACCORDANCE WITH THE CITY APPROVED ROW
PERMIT TO BE OBTAINED BY THE CONTRACTOR
2 SEE SPECIAL PROVISIONS SECTION 7-27 FOR
TEMPORARY SEWER BYPASS PUMPING/SYSTEMS
REQUIREMENTS.
3. EROSION CONTROL MEASURES SHALL BE
PROVIDEDlIMPLIMENTED AS REQD AND APPROPRIATE
IN ACCORDANCE WITH THE EROSION CONTROL
NOTES ON DWG G-2 AND APPLICABLE CITY OF
RENTON STD PLANS
4. SEE GENERAL BNSF NOTES AND REQUIREMENTS ON
DWG G-2
5. SEE SPECIAL PROVISIONS SECTION 1-08.13 FOR
SPECIFIC WORK CONSTRAINTS
REPLACE TYPE C
TRAFFIC CURB TO
MATCH EX PER RENTON
STD PLAN H007
CONSTRUCTION NOTES:
ONEW SMH 1968 SHALL BE INSTALLED PRIOR
TO BEGINNING CIPP WORK. SEE GENERAL
CONSTRUCTION SEQUENCE NOTES ON DWG
G-2
O2 QUANTITY, LOCATION AND DEPTH OF
EXISTING SIDE SEWERS ARE UNKNOWN.
SIDE SEWERS SHOWN FOR ILLUSTRATION
PURPOSES ONLY. CONTRACTOR SHALL
FIELD LOCATE EXISTING SIDE SEWERS AND
RESTORE SERVICE CONNECTION AFTER
INSTALLATION OF CIPP AS SPECIFIED
REMOVE 72" DIA MANHOLE
TOP FOR INSTALLATION OF
CIPP, REINSTALL AND ROTATE
APPROX 135° CCW AS
APPROVED BY THE CITY IN
THE FIELD
REPLACE YELLOW
PAVEMENT MARKING
TO MATCH EX
PROTECT EX UTILITY
COVER, REINSTALL TO
MATCH EX AS READ
REPLACE CHANNELIZATION
MARKERS PER RENTON
STD PLANS H007 AND 109.1
REMOVE AND REPLACE 4
CONC PANELS PER
RENTON STD PLAN 111'
APPROX SIZE=10'x10'x12"
THICK EACH PANEL
MANHOLE AND PAVEMENT
RESTORATION (LOOKING WEST)
DETAIL
NTS
Call 48 Hours
Before You Dig
1-800-424-5555
UNDERGROUND SERVICE
CITY OF CENTRAL RENTON SEWER INTERCEPTOR iAr zo15
1K RENTON RELINE & UPSIZE PROJECT
Public Woks Dept. SEWER RELINE PLAN & DETAILS C—.3