Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Admixture-Air Entraining |
C. Ouyang |
1 pt. |
DME or RCE |
Approved Source Batch (Lot) |
Project |
Contact District Matls. |
||||
|
Admixture-Corrosion Inhibitor |
1 pt. |
DME or RCE |
Approved Source Batch (Lot) |
Project |
Contact District Matls. |
|||||
|
Admixture-Retarder |
1 pt. |
DME or RCE |
Approved Source Batch (Lot) |
Project |
Contact District Matls. |
|||||
|
Admixture-Water Reducer |
1 pt. |
DME or RCE |
Approved Source Batch (Lot) |
Project |
Contact District Matls. |
|||||
|
Aggregates-Non-proportioned |
B. Gossman |
DME/PROD. |
Approved Source/Certified Truck Tickets, (Form #821278) |
Source |
Certified Ticket for pay items by weight |
|||||
|
Aggregates-Proportioned |
CONTR/RCE/DME |
Approved Source/Certified Truck Tickets, (Form #821278) |
Source Project |
|
||||||
|
Aluminum, Structural |
|
K. Frame |
|
|
Approved Shop Drawing & Fabrication Report |
|
|
|||
|
Anchor Bolts |
K. Frame |
1 bolt, nut & washer per size, per project |
DME |
Approved Source/Test Report/Steel Mill Certifications |
|
|
||||
|
Anchors, Concrete |
C. Ouyang |
|
|
|
Approved Source |
|
|
|||
|
Anti-Strip Agent |
S. Schram |
|
|
|
Approved Source |
|
|
|||
|
Arrow Panels, Solar-Assisted |
M. Bortle |
|
|
Approved Source |
|
|
||||
|
Asphalt Binder |
S. Schram |
1 4-oz. tin |
CONTR/DME |
Approved Source/Certification Statement /Test Rpt. |
Source Project |
|
||||
|
Asphalt, Cutback |
1 qt. tin |
RCE |
Approved Source/Certification Statement /Test Rpt. |
Source |
|
|||||
|
Asphalt, Emulsified |
S. Schram |
1 qt. bottle |
RCE |
Approved Source/ Certification Statement /Test Rpt. |
Source |
Project verification for seal coat |
||||
|
Attenuators -see crash cushion |
|
|
|
|
|
|
|
|||
|
Attenuators, Guardrail |
|
K. Frame |
|
|
|
As per plan |
|
|
||
|
Backer Rod for Cold Pour Joint Seal |
J. Putherickal |
|
|
Approved Source |
|
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Backer Rod for Hot Pour Joint Seal |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Barrier Rail, Precast Concrete |
M. Khoda |
|
|
Approved Source/DOT Stamp/Fabrication Report/Certification Statement |
Source |
|
||||
|
Beads, Glass |
J. Putherickal |
1 qt. |
|
Approved Source |
|
|
||||
|
Bearing, Bronze |
|
K. Frame |
1/project |
DME |
Test Report |
|
|
|||
|
Bearing, Lead |
|
K. Frame |
|
|
Certification Statement |
|
|
|||
|
Bearing, Neoprene |
J. Putherickal |
1/pad |
DME |
Fabrication Report/Approved Source |
Fabricator |
|
||||
|
Bentonite Clay |
|
C. Ouyang |
|
|
Visual Approval by RCE |
|
|
|||
|
Bolts, Nuts & Washers, Structural |
K. Frame |
Per IM 453.06B |
DME |
Mill Certification/Rotational Capacity Test/Test Report |
|
|
||||
|
Calcium Chloride Solution |
J. Putherickal |
4 lbs. or 1 qt. |
RCE |
Test by RCE |
|
|
||||
|
Caulking Compound |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Concrete, Mechanically Stabilized Earth Panels (MSE) |
M. Khoda |
|
|
Approved Source/Certification Statement/Shop Drawing |
Source |
|
||||
|
Concrete, Modular & Segmental Block (Dry Cast/Wet Cast) |
M. Khoda C. Ouyang |
|
|
Approved Source/Certification Statement |
|
|
||||
|
Concrete, Noise Wall, Precast |
|
|
Approved Source/Certification Statement/Shop Drawing |
Source |
|
|||||
|
Concrete, Precast Box Culvert |
|
|
Approved source, Approved Shop Drawing, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement |
Source |
|
|||||
|
Concrete, Prestressed, Precast Units |
|
|
Approved Source, Fabricator’s trade mark, Date of Manufacture, DOT Inspection stamp, Fabrication Report/Certification Statement |
Source |
|
|||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Concrete Sealer |
|
|
|
Approved Source |
|
|
||||
|
Conduit – See Lighting Matl. |
|
|
|
|
|
|
|
|
||
|
Curing Matls., Burlap |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Curing Matls., Clear |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Curing Matls., Dark-colored |
S. Schram |
|
|
Approved Source |
Source |
|
||||
|
Curing Matls., Plastic Film |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Curing Matls., White Pigmented |
J. Putherickal |
1 qt. |
|
Batch (Lot) Accept |
Source |
|
||||
|
Crash Cushion |
J. Putherickal |
|
|
Approved Source, Certification Statement if source not clearly marked |
|
|
||||
|
Delineators–See Signing Matls. |
|
|
|
|
|
|
|
|||
|
Detectable Warning Panels |
M. Khoda |
|
|
Approved Source/Certification Statement |
|
|
||||
|
Dowel-See Steel Reinforcement |
|
|
|
|
|
|
|
|||
|
Drainage Trough, Elastomeric Bridge Joints |
J. Putherickal |
|
|
|
Approved Source |
|
|
|||
|
Drains, Floor |
|
K. Frame |
|
|
Approved Shop Drawing & Fabrication Report |
|
|
|||
|
Drums, Channelizing |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Epoxy-coated Steel-See Steel Reinforcement |
|
|
|
|
|
|
||||
|
Epoxy Injection Resin |
C. Ouyang |
|
|
|
Approved Source |
|
|
|||
|
Erosion Control, Fertilizer |
M. Serio |
|
|
Approved Source http://idalsdata.org/IowaData/fertilizer.cfm |
|
If material is suspect, DME will sample |
||||
|
Erosion Control, Inoculant |
|
M. Serio |
|
|
Seed Manufacturing Recommendation |
|
|
|||
|
Erosion Control, Mulch |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Erosion Control, Mulch, Hydraulic |
J. Putherickal |
|
|
Approved Source |
|
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Erosion Control, Mulch, Weed Free |
|
J. Putherickal |
|
|
Weed Free Certification Statement |
|
|
|||
|
Erosion Control, Perimeter & Slope Sediment Control Devices |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Erosion Control, Seed |
|
|
Seed Ticket Printed with Test Data (rural stabilizing) Approved Source, seed mixture report and certification (seed mixes except rural stabilizing) |
|
|
|||||
|
Erosion Control, Silt Fence Fabric |
|
|
Approved Source |
|
|
|||||
|
Erosion Control, Silt Fence Wire & Posts |
|
|
|
|
Visual Approval by RCE |
|
|
|||
|
Erosion Control, Sod |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Erosion Control, Sod Stakes |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Erosion Control, Sticking Agent |
|
J. Putherickal |
|
|
Seed Manufacturing Recommendation |
|
|
|||
|
Erosion Control, Wire Staples |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Erosion Control, Wood Excelsior Mat |
J. Putherickal |
|
|
|
Approved Source |
|
|
|||
|
Expansion Device, Steel |
|
K. Frame |
|
|
Approved Shop Drawing & Fabrication Report |
|
|
|||
|
Expansion Tube |
|
K. Frame |
|
|
Visual Approval by RCE |
|
|
|||
|
Fabric Engineering |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Fasteners, Aluminum Structural |
K. Frame |
|
|
Fabrication Report |
|
|
||||
|
Fence, Barbed Wire |
|
K. Frame |
|
|
Visual Approval by RCE |
|
|
|||
|
Fence, Brace for Field Fence |
|
K. Frame |
|
|
Visual Approval by RCE |
|
|
|||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Fence, Tie & Tension Wire |
|
M. Khoda |
|
|
Visual Approval by RCE |
|
|
|||
|
Fence, Chain Link Fabric |
1/source/yr |
|
Approved Source/ Certification Statement |
Project |
|
|||||
|
Fence, Chain Link Fittings |
|
|
|
Visual Approval by RCE |
|
|
||||
|
Fence, Chain Link Posts, Braces, & Rails |
1/source/yr |
|
Approved Source/ Certification Statement |
Project |
|
|||||
|
Fence, Field Fence Fabric |
|
|
Visual Approval by RCE |
|
|
|||||
|
Fence, Gate |
|
|
|
Visual Approval by RCE |
|
|
||||
|
Fence, Orange Mesh Safety |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Fence, Silt-See Erosion Control |
|
|
|
|
|
|
|
|
||
|
Fence, Staples |
|
M. Khoda |
|
|
Visual Approval by RCE |
|
|
|||
|
Fence, Steel Line Posts and Braces |
|
|
Approved Supplier/ Certification Statement |
|
|
|||||
|
Fence, Wood Fence Post |
C. Ouyang |
|
|
Approved Source/Certification of Grade/Certified Treatment Test Report |
|
|
||||
|
Fertilizer-See Erosion Control |
|
|
|
|
|
|
|
|||
|
Fly Ash |
C. Ouyang |
15 lbs. |
DME |
Approved Source/ Certification Statement |
Project Source |
Verification on paving only |
||||
|
Galvanized Items |
|
K. Frame |
|
DME |
Test Report by District Materials/Certification Statement |
|
|
|||
|
GGBFS |
C. Ouyang |
|
|
Approved Source/ Certification Statement |
Source Project |
|
||||
|
Grating (Aluminum) |
|
K. Frame |
|
|
Approved Shop Drawing & Fabrication Report |
|
|
|||
|
Grout, Hydraulic Cement |
C. Ouyang |
|
|
|
Approved Source |
|
|
|||
|
Grout, Polymer |
C. Ouyang |
|
|
|
Approved Source |
|
|
|||
|
Guardrail, Cable |
K. Jones |
6 ft. |
DME |
Test Report by Central Lab |
|
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Guardrail, High Tension Cable |
K. Frame |
|
|
Approved Source/ Certification Statement |
|
|
||||
|
Guardrail, Formed Steel Beam and Terminals |
K. Jones |
|
|
Approved Source |
|
|
||||
|
Guardrail, Steel Posts |
|
K. Frame |
|
|
Mill Test Report |
|
|
|||
|
Guardrail, Wood Posts |
C. Ouyang |
|
|
Approved Source/Certification of Grade/Certified Treatment Test Report |
|
|
||||
|
Iron Castings, Utility Access Covers, etc. |
K. Frame
|
|
|
Certification Statement & Proper Identification Imprint |
|
|
||||
|
Iron Castings, Utility Access Adjustment Rings |
|
|
Approved Source/Certification Statement |
|
|
|||||
|
Iron Bridge Rockers |
|
|
|
Approved Shop Drawing & Fabrication Report |
|
|
||||
|
Joint Filler, Flexible Foam-Type CF & EF Joints |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Joint Filler, Type E Joint |
|
|
Approved Source |
|
|
|||||
|
Joint Filler, Bituminous |
|
|
Approved Source |
|
|
|||||
|
Joint Sealer for Concrete Sewer Pipes |
|
|
Approved Source |
|
|
|||||
|
Joint Sealer, Elastomeric (Neoprene) |
|
|
Approved Source |
|
|
|||||
|
Joint Sealer, Poured |
|
|
Approved Source |
|
|
|||||
|
Keyway |
|
K. Frame |
|
|
Visual Approval by RCE |
|
|
|||
|
Lighting Material, Aluminum Poles |
K. Frame |
|
|
Approved Shop Drawing/Approved Source/Certification Statement |
|
|
||||
|
Lighting Material, Circuit Test |
|
K. Jones |
|
Contractor |
Test Report (Contractor) Form #820928 |
|
|
|||
|
Lighting Material, Connectors |
|
J. Putherickal |
|
|
Approved Catalog Cut |
|
|
|||
|
Lighting Material, Contactors |
|
J. Putherickal |
|
|
Approved Catalog Cut |
|
|
|||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
Lighting Material, Control Cabinet |
|
J. Putherickal |
|
|
Approved Shop Drawing & Catalog Cut |
|
|
|||
|
Lighting Material, Conduit & Fittings, Plastic |
|
J. Putherickal |
4’-Plastic |
DME |
Test Report |
|
|
|||
|
Lighting Material, Conduit & Fittings, Steel |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Lighting Material, Ground Rods & Clamps |
|
J. Putherickal |
|
|
Visual |
|
|
|||
|
Lighting Material, Handholes |
M. Khoda |
|
|
Approved Source, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement |
Source |
|
||||
|
Lighting Material, Junction Boxes |
|
J. Putherickal |
|
|
Approved Catalog Cut |
|
|
|||
|
Lighting Material, Lighting Tower |
K. Frame |
|
|
Approved Shop Drawing/Approved Source/Certification Statement |
|
|
||||
|
Lighting Material, Lowering Device |
|
|
|
Approved Shop Drawing & Fabrication Report |
|
|
||||
|
Lighting Material, Luminaries |
|
J. Putherickal |
|
|
Approved Catalog Cut |
|
|
|||
|
Lighting Material, Photoelectric Control |
|
|
|
Approved Catalog Cut |
|
|
||||
|
Lighting Material, Sealant for Traffic Loop Detectors |
J. Putherickal |
|
|
|
Approved Source |
|
|
|||
|
Lighting Material, Steel Poles |
K. Frame |
|
|
Approved Shop Drawing/Approved Source/Certification Statement |
|
|
||||
|
Lighting Material, Underground Warning Tape |
|
J. Putherickal |
|
|
Visual Approval by RCE |
|
|
|||
|
Lighting Material, Wire & Cable |
|
|
|
Approved Catalog Cut & Certification Statement |
|
DME may obtain verification samples |
||||
|
Lighting Material, Wood Poles |
C. Ouyang |
|
|
Approved Source/Certification Statement |
|
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Lighting Material, Fasteners for Poles |
C. Ouyang |
1 each type |
DME |
Test Report & Approved Shop Drawing |
|
|
||||
|
Lighting Material, Mastarms |
K. Frame |
|
|
Approved Shop Drawing/Approved Source/Certification Statement |
|
|
||||
|
Lighting Material, Slip Base |
|
|
Approved Shop Drawing/Approved Source/Certification Statement |
|
|
|||||
|
Lighting Material, Transformer Base |
|
|
Approved Shop Drawing/Approved Source/Certification Statement |
|
|
|||||
|
Markers (reflective) for Guardrail & Concrete Barrier Rail |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Markers, Raised Pavement |
|
|
Approved Source |
|
|
|||||
|
Mastarms-See Lighting Materials |
|
|
|
|
|
|
||||
|
Paint, Epoxy Aluminum |
|
|
|
Approved Source |
|
|
||||
|
Paint, Traffic-VOC-Compliant Solvent-borne |
|
|
Approved Source |
|
|
|||||
|
Paint, Traffic Waterborne |
|
|
Approved Source |
Subcontr. |
|
|||||
|
Paint, Waterborne Acrylic Finish (Bridge Paint) |
J. Putherickal |
|
|
Approved Source/Certification Statement |
|
|
||||
|
Paint, Zinc-rich Epoxy |
|
|
Approved Source/Certification Statement |
|
|
|||||
|
Paint, Zinc-silicate Solvent-borne |
|
|
Approved Source/Certification Statement |
|
|
|||||
|
Patch Material, Rapid-set Concrete |
C. Ouyang |
|
|
|
Approved Source |
|
|
|||
|
Pedestrian Bridge, Pre-engineered |
K. Frame |
|
|
|
Approved Source/Approved Shop Drawing |
|
|
|||
|
Piling, Concrete |
M. Khoda |
|
|
Approved Source, Fabricator’s trade mark, Date of Manufacture, DOT Inspection stamp, Fabrication Report/Certification Statement |
Source |
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
|
||||||||||
|
Pilling, Timber |
C. Ouyang |
20 cores /shipment |
DME |
Approved Source/Certification of Grade/Certified Treatment Test Report |
Source |
Charge number on butt ends |
||||
|
Piling, Steel |
K. Frame |
|
|
Approved Source/Mill Certification |
Project |
|
||||
|
Pipe, PVC Sewer |
J. Putherickal |
|
|
Approved Source/Certification Statement |
Source |
|
||||
|
Pipe, Concrete Apron Guard |
M. Khoda |
|
|
Approved Source, Certification Statement |
|
|
||||
|
Pipe, Concrete |
M. Khoda |
|
|
Approved Fabricator, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement |
Source |
|
||||
|
Pipe, Concrete Sanitary and Storm Sewer and Structures (Precast) |
M. Khoda |
|
|
Approved Fabricator, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement |
Source |
|
||||
|
Pipe, Concrete Special Sections |
M. Khoda |
|
|
Approved Source, Fabricator’s trade mark, Date of Manufacture, Certified stamp, Certification Statement |
Source |
|
||||
|
Pipe, Corrugated Aluminized |
M. Khoda |
|
|
Approved Source/Certification Statement |
|
|
||||
|
Pipe, Corrugated Polyethylene 3-10 in. |
J. Putherickal |
|
|
Approved Source |
Source |
|
||||
|
Pipe, Corrugated Polyethylene 12-36 in. |
J. Putherickal
|
|
|
Approved Source/Certification Statement |
Source |
|
||||
|
Pipe, Corrugated Steel |
M. Khoda |
|
|
Approved Source/Certification Statement |
Fabricator |
|
||||
|
Pipe, Ductile Iron Sewer |
|
|
|
Certification Statement |
|
|
||||
|
Pipe, Polyethylene Sewer |
J. Putherickal |
|
|
Approved Source/Certification Statement |
Source |
|
||||
|
Pipe, Rodent Guard for PE Pipe |
K. Frame |
|
|
Approved Source |
|
|
||||
|
Pipe, Rodent Guard for CMP Pipe |
K. Frame |
|
|
Approved Source |
|
|
||||
|
Pipe, Concrete Subdrain Tile |
J. Putherickal |
|
|
Approved Source/Certification Statement |
Source |
|
||||
|
Pipe, Corrugated Metal Subdrain Outlet |
M. Khoda |
|
|
Approved Source/Certification Statement |
Fabricator |
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Pipe, Corrugated Polyethylene Subdrain |
J. Putherickal |
|
|
Approved Source |
Source |
|
||||
|
Pipe, Welded Steel for Bridge Rail (See Railing, Bridge) |
|
K. Frame |
|
|
|
|
|
|
||
|
Pipe, Horizontal Subdrain |
J. Putherickal |
|
|
Approved Source |
Source |
|
||||
|
Plant Material, Fertilizer |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Plant Material, Mulch |
J. Putherickal
|
|
RCE |
Field Review Report |
|
|
||||
|
Plant Materials, Plants |
|
Roadside Development |
Field Review Report |
|
Rpt. Issued-Roadside Development |
|||||
|
Portland Cement Concrete Premix Pack |
C. Ouyang
|
|
|
|
Approved Source/Certification Statement |
Source |
|
|||
|
Portland Cement, All Types |
10 lbs. |
DME |
Approved Source/Certification Statement |
Project Source |
|
|||||
|
Railing, Bridge |
|
K. Frame |
|
|
Approved Source/Approved Shop Drawing/Fabrication Report |
|
|
|||
|
Reflective Sheeting-See Signing Material |
|
|
|
|
|
|
|
|
||
|
Release Agent |
|
C. Ouyang |
|
|
Approved Source |
|
|
|||
|
Sealant, Traffic Loop-See Lighting Material |
|
|
|
|
|
|
|
|
||
|
Seed-See Erosion Control |
|
|
|
|
|
|
|
|
||
|
Signing Material, Delineator Posts |
|
J. Putherickal |
|
|
1 each supplier |
DME |
Test Report |
|||
|
Signing Material, Delineators |
J. Putherickal |
|
|
Approved Source |
Project |
|
||||
|
Signing Material, Finished Sign |
J. Putherickal |
|
|
Shipping Report/Approved Source/Certification Statement |
Source |
|
||||
|
Signing Material, Fasteners |
|
J. Putherickal |
|
|
Fabrication Report |
|
|
|||
|
Signing Material, Reflective |
J. Putherickal |
|
|
Approved Source |
Source |
|
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Signing Material, Sign Panels |
|
J. Putherickal |
|
|
Approved Shop Drawing & Shipping Report |
|
|
|||
|
Signing Material, Sign Support Structures |
K. Frame |
|
|
Approved Source/Approved Shop Drawing/Fabrication Report |
|
|
||||
|
Signing Material, Stainless Steel Fasteners |
K. Frame |
|
1 per size per proj. |
DME |
Approved Source/Mill Certification |
Project |
|
|||
|
Signing Material, Perforated Square Steel Tube, PSST and anchor |
K. Frame |
|
|
Approved Source/Certification Statement |
|
|
||||
|
Signing Material, Steel Posts |
|
K. Frame |
|
|
Approved Shop Drawing & Shipping Report |
|
|
|||
|
Signing Material, Wood Posts |
C. Ouyang |
|
|
Approved Source/Certification of Grade/Certified Treatment Test Report |
|
|
||||
|
Signing Material, Galvanized Items |
|
K. Frame |
|
|
Test Report by District Materials |
|
|
|||
|
Sod-See Erosion Control |
|
|
|
|
|
|
|
|
||
|
Steel Castings |
|
K. Frame |
|
|
Approved Source/Catalog Cut |
|
|
|||
|
Steel Masonry Plates |
|
K. Frame |
|
|
Mill Certification |
|
|
|||
|
Steel Pipe, Welded |
|
K. Frame |
|
|
Approved Shop Drawing & Fabrication Report |
|
|
|||
|
Steel, Pins/Rollers, Cold Finished |
|
K. Frame |
|
|
Approved Source/Catalog Cut |
|
|
|||
|
Steel, Pins/Rollers, Forged |
|
K. Frame |
|
|
Approved Source/Catalog Cut |
|
|
|||
|
Steel Reinforcement, Basket Assemblies |
M. Khoda |
|
|
Approved Source/Certification Statement |
|
|
||||
|
Steel Reinforcement, Epoxy-coated |
M. Khoda |
6 ft. |
DME |
Approved Source/Mill Certifications & Epoxy Certification Statement /Test Report |
Project |
Test sample should be 3 ft. away from end of the bar. |
||||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Steel Reinforcement, Epoxy-coated Tie Bars |
|
1 per project per year |
|
Approved Source/Certification Statement |
Project |
|
||||
|
Steel Reinforcement, Epoxy-coated Dowels |
1 per project per year |
|
Approved Source/Certification Statement |
Project |
|
|||||
|
Steel Reinforcement, Galvanized |
3 ft. |
DME |
Mill Certifications & Test Report for Galvanizing |
Project |
|
|||||
|
Steel Reinforcement, Stainless |
M. Khoda |
6 ft. |
DME |
Approved Source/Certification Statement |
Project |
Sample when project quantity >=1ton. |
||||
|
Steel Reinforcement, Uncoated |
*6 ft. of most common |
DME |
Approved Source/Mill Certification |
Project |
Sample when project quantity >=45ton. |
|||||
|
Steel Reinforcement, Wire Mesh |
2 ft. x 2 ft. |
DME |
Approved Supplier or Distributor. Steel Reinforcement/ Mill Certification |
Supplier |
1 sample per source per year |
|||||
|
Steel Mechanical Splicers for Reinforcement |
M. Khoda |
|
|
|
Approved Source/Mill Certification/Epoxy Certification |
Project |
Need: Certification Statement, Project #, Quantity, Heat # |
|||
|
Steel Structural |
|
|
Approved Source/Approved Shop Drawing/Fabrication Report/Mill Certifications |
|
|
|||||
|
Step Irons for Utility Access |
|
|
|
Fabrication Report |
|
|
||||
|
Structural Items, Other |
|
K. Frame |
|
|
|
Approved Shop Drawing & Fabrication Report |
|
|
||
|
Structural Plate (Arches) |
M. Khoda |
Visual |
RCE |
Approved Source/Certification Statement |
|
|
||||
|
Studs, Shear |
K. Frame |
|
|
|
Approved Source/ Mill Certification |
|
|
|||
|
Tape, Pavement Marking |
J. Putherickal |
|
|
Approved Source |
|
|
||||
|
Torque Calibration Machine (Skidmore) |
|
K. Frame |
Verified every 12 mo. |
CTRL |
Test Report |
|
|
|||
|
Torque Wrench |
|
K. Frame |
Verified every 12 mo. |
CTRL |
Test Report |
|
|
|||
Sampling & Testing Guide-Minimum Frequency |
||||||||||
|
April 21, 2015 |
SUPPLEMENTAL GUIDE – BASIS OF ACCEPTANCE |
Matls. IM 204 |
||||||||
|
Supersedes October 21, 2014 |
|
Appendix Z |
||||||||
|
Material |
IM |
Contact |
Spec. |
Sample Size |
Sampled By |
Basis of Acceptance |
Verification |
Other Details |
||
|
Traffic Signalization, Electrical Tests |
|
K. Jones |
|
Contractor |
Test Report (Contractor) Form #820928 |
|
|
|||
|
Water |
|
J. Putherickal |
1 qt. per source |
DME |
Test Report or City Water Supply |
|
|
|||
|
Wire & Cable-See Lighting Material |
|
|
|
|
|
|
|
|
||
|
Watermain, Appurtenances |
K. Frame |
|
|
|
Catalog Cut/ Mill Certification |
|
||||
|
Watermain, Ductile Iron Pipe |
|
|
|
Mill Certification |
|
|
||||
|
Watermain, Ductile Iron Pipe Fittings |
|
|
|
Catalog Cut/ Mill Certification |
|
|
||||
|
Watermain, Fire Hydrant Assembly |
|
|
|
Catalog Cut/ Mill Certification |
|
|
||||
|
Watermain, PVC Pipe |
J. Putherickal
|
|
|
Approved Source/Catalog Cut |
|
|
||||
|
Watermain, PVC Pipe Fittings |
|
|
Approved Source/Catalog Cut |
|
|
|||||
|
Watermain, Valves |
|
|
|
Catalog Cut/ Mill Certification |
|
|
||||
|
Wood, Hardware for Timber Structure |
J. Putherickal |
1 ea. type |
|
Test Report |
|
|
||||
|
Wood, Treated Posts |
C. Ouyang |
|
|
Approved Source/Certification of Grade/Certified Treatment Test Report |
|
|
||||
|
Wood, Treated Timber & Lumber |
|
|
Approved Source/Certification of Grade/Certified Treatment Test Report |
|
|
|||||
|
Wood, Untreated Timber & Lumber |
Visual |
RCE |
Quality grad mark or certification of grade on items requiring grade |
|
|
|||||