Matls IM 204 App X, revised 4/21/20

Sampling & Testing Guide-Minimum Frequency
April 21, 2020		ACCEPTANCE OF SMALL QUANTITIES OF MATERIALS					Matls. IM 204
Supersedes October 18, 2016						Appendix X
Material			Bid Item Maximum Quantity	Specifications	Alternate Acceptance Method
Aggregate, non-proportioned, non-critical			200 tons	IM 209	Approved Source and Visual
Asphalt, HMA	Mix		mixture bid item of 1000 tons	2303	Approved JMF, Contractor QC, and Contractor Certification
	Binder		mixture bid item of 1000 tons	4137	Approved Source and Supplier Certification
	Aggregate		mixture bid item of 1000 tons	4127	Approved Source, Producer Certification for gradation and quality, and Contractor QC.
Concrete, PCC Paving	Aggregate		Less than 2000 Square Yards of Concrete	4110, 4111, 4115	Approved Sources on plant report, Producer Certification for gradation and quality, and Contractor QC.
	Portland Cement		Less than 2000 Square Yards of Concrete	4101	Approved Source and Producer Certification
	Fly Ash		Less than 2000 Square Yards of Concrete	4108	Approved Source and Producer Certification
	GGBFS		Less than 2000 Square Yards of Concrete	4108	Approved Source and Producer Certification
	Admixtures		Less than 2000 Square Yards of Concrete Yards	4103	Approved Source
	White Pigmented Cure		55 gallons or less	4105	Visual

Sampling & Testing Guide-Minimum Frequency
April 21, 2020		ACCEPTANCE OF SMALL QUANTITIES OF MATERIALS					Matls. IM 204
Supersedes October 18, 2016						Appendix X
Concrete, PCC Structural	Aggregate		Less than 50 Cubic Yards of Concrete	4110, 4111, 4115	Approved Sources on plant report, Producer Certification for gradation and quality, and Contractor QC.
	Portland Cement		Less than 50 Cubic Yards of Concrete	4101	Approved Source and Producer Certification
	Admixtures		Less than 50 Cubic Yards of Concrete	4103	Approved Source
	White Pigmented Cure		55 gallons or less	4105	Visual
Dowel Baskets, Epoxy-coated			25		Visual & Field Check
Hardware for Timber			100 lbs.	4153.07	Visual
Joint Filler, Preformed			50 ft.	4136.03	Visual & Dimension
Lighting Material-Conduit & Fittings			100 ft	4185.10	Visual & Brand Name
Paint, Bridge			5 gal.	4182	Visual & Brand Name
Pipe, Welded Steel for Bridge Railing			100 ft.	4153.05	Letter of Compliance
Signing, Delineator posts			10	4186.10,C	Visual
Steel Reinforcement, Epoxy Coated (other than bridge decks)			Less than 5 tons	4151.03,B	Approved Source, Producer Certification
Steel Reinforcement, Uncoated			Less than 45 tons	4151	Approved Source, Producer Certification
Steel Reinforcement, Stainless			Less than 1 ton	4151	Approved Source, Producer Certification

Sampling & Testing Guide-Minimum Frequency