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20091005152120175.pdfNo Y Iry r flt ,11gregaf ,fie ! Contract i FA Number SR I Date r - E 9116/2009 Sertian � County : i Cantractor Subconfracior For WSDOT Use Only For assistance in completing, see Instructions and Example RAM Al Rid Material or Item No- j Manufacturer's i'roductlType Name and Location of Fabricator, Specification Manufacturer or Pit Number i Reference Appr'I I Apptrrl � Fife I No. -- - 1— _ C de Code ;Concrels Cemex 8-02.3(2) A! __...FEyereti-#38094iYoQdtrLvi]€e. fl1�Q3......_... 1 Cemenl ill�rne_lid I CaiPordand Inc. 9-01.2(1) —Seattle �+JA QP_L-2—ua— iFly Ash 1-Icadwaters Resources 1 9-23.9 ASTMI_ _ f)L 201€l - : ;Coarse Aggregate Grartite Falls Pit (Pit 0-344) J 9 031 -_� RNs 4&K57.67 1 ! 1 iNie Aggregate Everett Pit (Pit #D47) 9-03.1 ! f Wafer Alderwood Water District- Water € 9.25 € ---- `- ;AEA, ` ASTU C260 W.R. Grace & Co. 9-23.6 p HRWRA, ASTM C494 Type F !A va Conneticut SJP_L 39II5-. W.R. Grace & Co. ! 9-23.6 Cannetictai - [WRA,ASTIN C494Type A j W.R. Grace & Co. E 9-23.6 yl(y$Conneticut npi 1ASTM 0494 Type D W.R_ Grace & Co- 9 23.6(16— Canneticut OPL V05I Project Engineer Dale State Materials Engineer Date I f i Approval Action Godes for use by Project Engineer and State Materials Laboratory 1. Conditionally Approved: Aoceptance based upon'Satisfaclory' Test Report for samples of materials to be Incorporuted into project, 2. Conditionally Approved: Submit Mfg. Cert- of Compliance for'Approval' prior to use- of material. 3. Conditionally Approved: Submit Catalog Cuts for'Approval' prior to use of material. a, Conditionally Approved: Submit Shop Drawings for'Approvaf'prior to fabrication of material. 5. Conditionally Approved: Only `Approved for Shipment' or'WSDOT Inspected' material shall be used. 6. Conditionally Approved: Submit Materials Certificate of Origin to Project Engineer. 7. Approval Pending, Request Transmitted to State Materials Laboratory for Approval Action. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10 Approval Withheld: 11. Remarks: / Project Engineer DlstribWon ❑ Conlractor Q Region Operations Englneer DOT > orm 360-071 EF Revisgod 3107 State Materials Engineer Distribution ❑ Region Materials ❑ General File ❑ Signing Inspection ❑ State Materials Lab ❑ Fabrication Inspection © Other MIS 473655 DODO CONSTRUCTION INC TRANSMITTAL Company: Cemex Construction Date: October 1, 2009 Address: 6300 Glenwood Ave Project.: 2009 Edmonds Overlay Everett, WA 98203 KPN: J-9718 Attention: Lorri Soule Transmitted Via: ❑ Plans. L SpecificatiQns:.. .... .iwl 1'gyrpent 11 Request for Payment ' Rc ■ Desrgn Mix�Srs:� Contrac# i=l Prod ❑}cher: , 7 Cement Concrete Sidewalk/Curb Detectable Warnin s Ex ansion Joint. Please insert the next consecutive submittal number and forward toPerteet[City of Edmonds fora royal. Thanks f oshua Moore joshua@kodoconstruction.com 206-391-4320 PO BOX 1018, AUBURN, WA 98072 / {253) 833-0911 / FAX (253) 833-0855 / 1"-ODOC**333JP MBE/DBE# D4M8019188 Request for Approval of Material Sources Contract Name: 2009 Asphalt Overlay Protect Protect # EXA Contractor: Cemex Construction Fed Aid # 0365(007) Subcontractor: Kodo Construction, Inc. Qate: 1011!09 1 Bid Material Source Approval Item No. pescript�ofter)al Local Supplier Manufacturer o it # Action A009.01 Crushed Stone Top Course Cemex Granite Falls Plant - 7.. _ 49 Materials Laboratory Use Only Sources of supply for all items chocked( in approval column are approved for use on the above improvement provided the materials delivered comply with all specifications. Approval Action Codes for use by Materials Laboratory only. t. Source Approved: Acceptance based upon 'Satisfactory test report for samples of materials to be incorporated into project. 2, Source Approved: Submit Manufacturer Cerificate of Compliance for'Approval' prior to use of material, 3. Source Approved: Submit rrillcerts prior to use of material. 4. SourceApproved: Submit catalog cuts arbor shop drawings for'Approval' prior to use or fabrication of material. 5. Source Approved: Only stamped Matin Lab tnspected' or'WSOOT Inspected' material shall be used. 6. Source Approved: Request supplier to provide'Matl's lab' or'WSDOT Pipe Acceptance Report (PAR) with pipe upon delivery. 7- Source Approved: Submit mix design ior'Approvar prior to incorporation of material into project. B. Approval Withheld: Submit samples for prelimary evatuatlon. 9. Approval Withheld= Submit brand name, name of manufacturer, treating plant, or WSt70T Pit numb�q . of Edmonds 111, Approval Withheld; Submit catalog cuts and/or shop drawings for approval. Submittal/Shop Drawing Review 11. Approval Withheld: Submit bid item number. No Exceptions Taken — Revise and Resubmit 12. Approval Withheld: _ Comments Attached 13. Conditionally Approved: FurWsh as Marked — Rejected This review "Lfor general conformanc4dy'ith the design concept and general compliance with the approved permit and applicable drawings and specifications. Corrections or comments made on the have reviewed the at�tci1F?r�l+=i�N�o they in any way Senior Construction Engineer approve, authorize or direct a change to the approved drawings or by the City prior to proceeding with changed work. Review of a specific item shall not include review of an assembly or which the item is a component. Contractor is responsible for the following: dimensions to be confirmed and correlated at the joh site; information that pertains solely to fabrication processes or to the means, methods, techniques and procedures of construction coordination of its work and for performing all work; in a safe and satisfactory manner. iof1 corm C -7o (Rev. 4100) CITY OF EDM©N S: By. Date: �� Aggregate Nource Approval Report AdbL V—T W;ishingtonState �/A ltepartment of Transporialion Owner: Rinker Materials WSDOT MATERIALS LAB Aggregate Source Approval Report 344 Page I of 2 07110/2009 Aggregate Source: PS•D- Le t+seiy: Known as: Granite Falls Pit Located in: 5 1/2 SEC. 4, S 1/2 SEC. 5, NE 1/4 SEC. 8, N1v 1/4 SLC, 9 Section 4,5,8,9 T30N R7E County. Snohomish ty. Remarks: ^ Pit Run Materials: y Prior to €ncorpprating any of the following into a job, Gradation and Sand Eqvivalent tests shall be performed to determine if the material does in fact meet specification for the intended use: Sackfdi for Rack Wall Backfdl for Sand grains Redding Material for Rigid Pipe Bedding Material for Thennoptaslic Ripe Blending Sand Foundation Material for Classes A. B or C Gravel BacWl for Drains and Dryweils Gravel Backfill for Foundation Class B Gravel Backfill for Pipe Zone Bedding Gravel HackfN for Walls Gravel Borrow Sand Drainage Blanket Selector Common Borrow No Preliminary Tests are required to be performed by the State Materials Lab Gravel Bane: Test Date: 12/13/1999 Expiration date, 12/13/2004 Drainage: Free R Value, 71 Swell Pressure: 0.2 Contact the Regional MateriMs Office to request PRELIMINARY SAI IDLES be acquired. Evaluation and approval of this site as a source of GRAVEL BASE is required priorto use. Mineral Agg. and Surfacing; ?est Date: 08/18/2045 Expiration Date' 08119/2010 Absorption: Apparent Sp. G,: Sulk Sp, G, JSSD): 2.721 Bulk Sp, G,; Deg: 45 LA: 19 Ckirrently approved as a source of aggregate for: ATB saBast BST Crushed Covor Stone BST Crushed Screenings Crushed Surfacing Base Course Crushed Surfacing Key Slone Crushed Su= Top Course Gravel Backfill for Foundation Class A HMA Other Courses )TOVve-aring; Course Maintenance Rock Shoulder Ballast Acceptance tests need to be performed as necessary. Portland Cement Concrete Aggregates: Test ©ate: 02/03/2005 Expiration Date: 02/03/20€0 ASR- 14 Day :11.36 ASR - One Year: 0,038 CCA Absorption: 1.33 CCA Sp.G: 2679 FCA Absorption: 1.61 FGA Organics: 3 FCA Sp. G: 2.669 LA: 21 Morlar Strength: Petrographic Analysis: Currently approved for: Coarse Concrete Aggregates Fine Conciete Aggregates Acceptance tests need to be performed as necessary Riprap and Quarry Spalls: Test Date: 08/18/2005 Expiration Date: ,gosa(plinri: Apparent Sp. G.: Bulk Sp, G. (SSD): z.121 Bulk Sp. cs.: Deg: 45 LA: 19 1ittp:`I�.%)w,x% wsdot.wa_govfbizlmatsiasa/ASAReport.cfm?Prefix=D&pit_no=344 7/10/2009 16!59 6u%R TVLLI%,4 1-51.,F1uvuc IN -UP IL I'age 2 of 2 Contact the Regional Materials Office to request PRELIMINARY SAMPLES be acquired. Evaluation and approval of Ihls 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 SVstem ltr1p:!!\v%,v.wsdot.wa.PovlbixlmatslasalASAReport.e(m?prefix,D&pit no=344 7/1012009 //CEMEX Gradation Test Report Plant NWAggregate-1875 Product WSlaOT Top Course-1181800 Specification WSDOT Top Course a99QC Aggregate Quality Control Sample Information Sample No -262975009 Weather Date Sampled 04130/200910:45 Temp Date Com plated 05101/2009 06:45 Split sample❑ Sequence Sampled By Plant Personnel Resample❑ Code Tested By Greg Page Borehole Type Production Depth Top/Bottom Method Loader mixed pad Location 1882 Granite Fails Test Note Process Plant = Granite Falls Ledge - -- -- - Other Tested in Everett Gradation Results - Unit Moist Mass Dry Mass Wash Mass Moisture % Wash Loss % Procedure g 2488.00 2452.00 2322.00 1.5 5.3 Cum Mass Ind % Sieve Mass Retained Retained Retained % Retained % Passing Target Specification Comment 314" (19mm) 0.0 0.0 0.0 0.0 100.0 100-100 1/2" (12.5mm) 95.0 95.0 3.9 3.9 96.1 80-100 -#4 (4.75mm) 938,0 1033.0 38.3 42.1 57.9 46-66 #40 (0.425mm) 1081.0 2114-0 44.1 86.2 13-8 8-24 #200 (75um) 181.0 2295.0 7.38 93.60 6.40 0-10 PAN (Gum) 27.0 2322.0 1-10 100.00 0.00 a99QC Aggregate Quality Control Request for Approval of Material Sources Contract Name: 2009 Asphalt Overlay Project Project # E9CA Contractor; Cemex Construction Fed Aid # 0365(007) Subcontractor: Kodo Construction, inc. Date: 1011109 2 Bid Item No. Material Source Description of Material Local Supplier Manufacturer or Pit # Approval Action" A010.01 Concrete Class 5000, Nh Design # 1394199 Cemex Concrete Everet Plant 'lied �3c'Y C_L6le -- k:raatei, A011.03 - A012.01 Materials Laboratory Use Only • Sources of supply for all items chocked( ) in approval column are approved for use on the above Improvement provided the materials delivered comply vib all spsc113callons. Approval Action Codes for use by Materials Oborefory only. 1, Source Approved: Acceptance based upon `Satislaotory'testrepen for samples of materials to be innorperated inin project. 2. Source Approved; submit Manufacturer Cor rmata of Compliance for Approval' Prior to use of material, 3. Source Approved: Submit mi lkeris prior to use of material 4. Source Approved: Submit catalog cull andlo€ shop drawings for Approver pdorto use or fabrication of material. 5. Source Approved: Only stamped MaM Lab Inspected' or'W50OT Inspected' material sbaU be used. 6. Source Approved; Request supptlar to povide'Matrs Lab' orWS00r Pipe Acceptance Report (PAR) with pipe upon delivery, 7. Source Approved: Submil mix design fpr Approval' prior to inmrporaVon of material Into project. 8. Approval Withheld: Submit samples for prelimary evaluation. 9. Approval Wll hhald; Submit brand name, name of manufacture . treating plant, or WSOOT Pit number 10. Approval Withheld: Submit catalog cuts andlor shop drawings for approval, 11. Approval V trheld: Submit bid item number. �s 12. Approval Withheld: 13. Conditionally Approve d ®� /�� teem der /t / I r -have have reviewed the above items and( ) concur, ( ) do notconcur (attach comments) Submittal/Shop Dra ing Review 6erdorCoashac OrtEnglfeer T§tkpn Revise and Resubmit _ Comments attached Furnish as Marked _ Rejected This review is only for general conformance with the design concept and general compliance with the approved permit and applicable drawings and specifications. Corrections or comments made an the submittal/shop drawings during this review do not relieve contractor from compliance with the requirements of, nor do they in any way approve, authorize or direct a change to the approved drawings or specifications. Any change, must he specifically authorized in writing by the City prior to proceeding with changed work. Review of a specific item shall not include review of an assembly of which the item is a component. Contractor is responsible for the following: dimensions to he confirmed and correlated at the job site, information that pertains solely to fabrication processes or to the means, methods, techniques and procedures of construction coordination of its work and for performing all work in a safe and satisfactory manner. CITYO D� Nom• By: /�r Date*T;& ? - Adb. �Washington State -r/ Depart...t of Trans' o rtation Concrete Mix Design Contractor Submitted By !late Kodo Construction KristineBahr 9f1812009 Concrete Supplier Plant l,acation C:EMEX Everett & WoodirlviIle,Washin ton Coritract Number Contract Name This mix is to be used in the fallowing Bid Item No(s): Concrete Class: (check one only) A a d E1 3000 ❑ 4000 040006 0 4000P ❑ 400011! []Concrete Overlay { Cement Concrete Pavement ❑ Other Remarks: (J:,� S 5.000 ( L Pnving) High Early (3 000 PSI,4 t Day) Mix Design No. 1394199 Plant No. 1800 & 1803 Cementitious Materials Source Type, Class or Grade Sp. Gr. Lbslcy Cement Lafarge - N. America Type Ef 3.15 700 Fly Asha Headwaters Rcsources Type F 2.25 0 GGBFS Sla LaFargtC w N. America I Grade 100 12.89 0 Latex Strength (cylinders) psi Microsilica 14 Day Flexurald 742 721 704 660 731 71.2 Concrete Admixtures Air Entrainment Manufacturer W.R. Grace & Co. Product Daravair 104() Type Est_ Range (Oz/c) Water Reducer W.R. Grace & Co. WIMA 64 A & D 24-40 High -flange !Nater Reducer W.R. Grace & Co. Adva F 21-63 Set Retarder W.R. Grace & Co. Recover D 0-32 Other Water (Maximu+n) 260 lbslcy Is any of the water Recycled or Reclaimed" ❑ Yes,: ENA Water Cernentitious Ratio (Maximum) 0.379 Mix resign Density 146.61 lbslefd Design Performa3nCe 2 3 4 6 Averaga 28 Day Compressive 5,590 5,700 5,240 6,120 6,110 5,750 Strength (cylinders) psi 14 Day Flexurald 742 721 704 660 731 71.2 Strength beamspsi ,agency Use Only (Check app(opirate Box) 0 This Mix Design MEETS CONT. RACT SPECIFICATIONS and may be used on the bid Items noted above El This Mix Design DOES NOT MEET CONTRACT SPECIFICATIONS and is being returned for corrections Reviewed By: Pi; Signature date COT Form 350-040 EF Distribution: Original - Contractor Revlsad 0106 Coptes To - Stale Materials Lah•Structural Materials Eng. ; Regional Materials Lahr Project Inspector Mix Design No. 1394199 Plant No. 1800 & 1803 Aggregate Information Concrete Component Component Component Component Component Combined Aggregates 1 2 3 4 5 Gradation WSDQT Pit NO. D-47 D-344 D-344 D-344 - 314 inch 100 6.6 92.8 100 - WSDOT ASR 14 -day Results °/a b ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ❑ No dt?4't^` •"?i,. 318 inch too J.1 16.4 96-0 19.0 GradingC CLI #4 #57 17.4 3.0 No.8 74,8 0.3 12 1.7 Percent of Total 57.2 0.0 0.6 0.8 Aggregate 38.7 0.0 0.3 0.5 100% Specific Gravity 2.65 2.70 2.70 2.6$ No. 100 2.6 0.0 0.0 0.0 Lbslcy (ssd) 988700 0.0 1,100 1-20( 0.0 - Percent Passing 2 inch 100 100 100 I00 100.1.1 1-1/2 inch 100 99.9 100 100 99,9 1 inch 100 62.5 100 100 - 314 inch 100 6.6 92.8 100 613.4 112 inch 100 1.8 47.5 100 - 318 inch too J.1 16.4 96-0 19.0 No, 4 96.2 0.6 1.9 17.4 3.0 No.8 74,8 0.3 12 1.7 No. 16 57.2 0.0 0.6 0.8 No. 30 38.7 0.0 0.3 0.5 No. 50 14.3 0.0 0.0 0.3 No. 100 2.6 0.0 0.0 0.0 No. 200 0.46 0.0 0.0 0.0 - Fineness Modulus: N/A (Required for Class 2 Sand) ASR Mitigation Method Proposed b: Use of Lova Alkali Cement Notes: a Required for Class 4000D and 4000P mixes. h Alkali silica Reacttvtty Mitigation is required for sources with expansions over 0,26% - Incidate method for ASR mitigatlon. For expansion of 0.21%- o.45%, acceptable mitigation cast be the use of low alkali cement or 25% type F fly ash. Any other proposed mitigation method or for pits with greater than 0.45111. expansion, proof of mitigating measure, either ASTIv1 01260 I AASHTO T303 test results must be attached - If ASTM! C 1293 testing has been submitted indicating 1 -year expansion of 0.04% or less, miligation is not required. c AASHTD No. 467, 57, 67, 7, 8; WSDQT Class 1, Class 2; orcombined gradation. See Standard Specification 9-03,1, d Required for Cement Concrete Pavements. e Attach test rosuits indicating oonformartce to Standard Specification 9-25.1. f Actvat Ayerage Strength as determined from testing or estimated from ACI 211. DOT Farm 350.040 8F Revised 6,106 r AyFd.A��1Fi�i 2A N FtTH AMERICA Geriient Cement Test Report Mill Test Report Number: S -I11-09-01 YEAR, 2009 MONTH: January PLANT: Sealtle CEMENTTYPE. ASTM T-111 PHYSICAL ANALYSIS CHEMICAL ANALYSIS percent Fineness by Air Permeability 552 Silica Dioxide (SiU2_ ASTM C 114) 20.9 (rnl` tc3; ASTM C204) Aluminum Oxide (AIZOa; ASTM 01141 4.5 Ferric Oxide (F00)3; ASTM C114) 3.2 Fineness by 45 pin (No. 325) Sieve Calcium Oxide (CaO, ASTM 0114) 64-6 (`7o passing; ASTM C430) 99.2 Magnesium Oxide (MgO; ASTM 0114) 1.1 (% retained; ASTM 0430) 0.8 Sodium Oxide (Na, O, ASTM 0114) 17.37 Potassium Oxide (K20, ASTM C114) 0.23 Compressive Strength Sulfur Trioxide (5033, ASTM 0;114) 3.47 (ASTM C109/C109 M) Mpa si bass on Ignition (L.O.l.; ASTM C114) 1.28 1 -day 26.8 3,886 Free Littre (°%f0ao) 0,34 3 -clay 35.9 5,206 Total Alkali as Sodium Oxide (%NaEt1) 0,52 7 -day 41.9 5,fl76 Insoluble Residue (ASTM Cl 14) 0.47 28 -clay 49.5 7.1713 Tricalcium Silicate (%C3S) 59 Dicalcium Silicate (%C2S) 15 Time of set, Vicat 93 Tricalcium Aluminate (°/ C3A) 7 (Inililial minutes•, ASTM 01911 Tetracalciurn Aluminaferrlte (%C4AF) 14 Air Content of Mortar 9 ASTM ctaa) Autoclave Expansion -0.04 Certified by, (%, ASTM C151) �� False Set 75 (%, ASTM 045 1) Daniel Watdron Quality Conlrai LaboraWry Supervisor The cement re resented by the ahove analysis is certified to comply with ASTM 0150 Type Ills ecifications. 01!1'r kri Chemical and Physical Analysis of Fly Ash Developed For: Headwaters Resources 16817 - 155th Al SE Menton, WA 98058 Ticket: 9172 Plant of Origin. Centralia US Sample Date Range: 07/0812009 Job: 14708 Sample ID.- Ce -022-09 to: 0711112609 Report Date: 0$/27/2009 Docket: 30311.24 - 3031193 Date deceived: 071161260-4 Chemical Composition % ASTM C 618.08 Specifications (by Wymiinq Analytical Laboratories, Ino.) Class F Class G Total Silica, Aluminum, Iron: 725 70.0 Min 50.0 Min Silicon Dioxide: 50.3 Aluminum Oxide: 16.66 Iron Oxide: 5.8 Sulfur Trioxide: a8 5.0 Max 55.0 Max Calcium Oxide: 15.2 Moisture Content: 0.0 3.0 Max 3.0 Max Loss on Ignition: 0.2 6.0 Max 6.0 Max AASHTO M295-06 Specifications Available Alkalies (as Na2O): 1.5 1.5 Max 1.5 Max Sodium Oxide: 1109 Potassium Oxide: 0,55 ASTM C 618-08 Specifications Physical Test Results class F Class C !Fineness, Retained on #1325 Sieve (%): 21.9 34 Max 34 Max Strength Activity Index (°/4) Natio to Control Co-) 7 Days: 94.7 Ratio to Control @ 26 Days- 94.8 75 Min 75 Min Water Requirement, % of Control: 93.0 105 Max 105 Max Soundness, Autoclave Expansion (°la): 0.03 0.8 Max 0.8 Max Drying Shrinkage, Increase @ 28 Days (°Io): 0.00 U3 Maxtttttt E Max Density Mg/m3: ,2.56 � lef Comments:14540 GTL ! Thompson Materials Engineers, Ind ci' �i,,,,%812712009 {� f 3. ✓ f "F::,:.: a S"�y • �! ,a 1 ,L^H'�.�•G��X�a..• ,J��. L:tr<•r;..I•'h..��i.�l ,,mow.,,.,...-•... '"/.r i7Al►RRl.hR1`�����5 Orville R. Werner 11, P.E. 22 Upan Street I Denver, Colorado 89223 1 Tel ephoree:303-825.0777 Fax: 203.893-1568 Uls lest report relates only to the Items tested and shall not be reproduced, except in full, without written approval of CLL Thompson, Inc. Request for Approval of Material Sources Contract Name: 2009 Asphalt Overlay project Project # E9CA Contractor. Comex Construction Fed Aid # 0365(007) Subcontractor: Koda Construction, Inc. Date: I 1011109 3 Bid Item No, Description of Material Material Source Approval Action" Local Supplier Manufacturer or Pit # A013.01 Concrete Cess 3000, Mix Design # 1334820 -- Cemex Conorete Everet Plant _......---- -- drawings and specifications. Corrections or comments made on the A014.01 A015.01 1301Z01 8013A1 B020.01 C013.01 0014.01 from compliance with the requirements of, nor do they in any way approve, authorize or direct a change to the approved drawings or C015.0i 0016.01 CO24.01 _ —.--- by the City prior to proceeding with changed work. Review of a specific C1013.01 item shall not include review of an assembly of which the item is a Ci-019.Ot W-012.01 be confirmed and correlated at the job site; information that pertains solely to fabrication processes or to the means, methods, techniques and Materials Laboratory Use Only Sources of supply for all items chocked( )in approval column are approved for use on the above Improvement provided the malerlais deWaned comply with all speelncations. Approval Action Codes far use by 4latedels Laboratory only. t. Source approved: Acoaptanee based upon'Satisfactopf test report for samples of materials to be tncarporeled into project. 2 Source Approved: Submit Manufacturer CeflftaW of Compliance for'Appreval' prior 0 use of material. 3. Source Approved: Submit mblcerts prior to use of material. 4. Source Approved: Submit catalog cuts anotor shop drawings for'Approvar prior to use or fabrication of material. S. Source Appwved: Only stamped Maft Lab Inspected' or "W840T Inspected' material shall he used. S. Source Approved: Request supplier to provide'Mail's Lab' or'WEDOT' Ipe Aceepfance Report (PAR) with pipe upon delivery. 7. Source Approved: Submit mix deson for'Approvar prior to incorporation of material into pm�oct. & Approval WOW: Submit samples for prelbmary evaluation. 9. Approval Withheld: Submit brand name, name of manufacturer, treating plant, or WSl7OTPi1 number, 10. Approval Withheld: Subm€tcala€og cuts andlor shop drawings for approval. 11. Approval Withheld: Submit bid item number. 12. Approval Wahhotd: 13. ConditionallyAppmved: B f a , y eery ®�fer,/X019,,, Ie Ormoikp�4A01 6 have reviewed the above items and( ) concur, ( I do not concur (adach cuff maSubmittal/Sts) ao Elmods Submittal/Shop Drawing Review lur Consmrc6on Fnalneer Revise and Resubmit tr _ _ Comments Attached Furnish as Marked _ Rejected This review is only for general conformance with the design concept and general compliance with the approved permit and applicable drawings and specifications. Corrections or comments made on the submittal/shop drawings during this review do not relieve contractor from compliance with the requirements of, nor do they in any way approve, authorize or direct a change to the approved drawings or specifications. Any change, must be specifically authorized in writing by the City prior to proceeding with changed work. Review of a specific item shall not include review of an assembly of which the item is a component. Contractor is responsible for the following: dimensions to be confirmed and correlated at the job site; information that pertains solely to fabrication processes or to the means, methods, techniques and procedures of construction coordination of its work and for performing all work in a safe and satisfactory manner. CITY F M NDS• Ry �' Bate: / G� Ai, WrWashirx�tan state department of Transportation Concrete Mix Design Contractor Submitted By Date Kodo ConsJ Construction Kristine Bahr l r ^� ' 911612009 Concrete Supplier I Plant Location CEMBX Everett & Woodinville, Washington Contract Number Contract Name 2009 Edmonds This mix is to be used in the following Bid Item No(s): Concrete Class: (check one only) a d IR3000 ❑ 4000 ❑ 4000D ❑4p0OP ❑ 400OW ❑ Concrete Overlay ❑ Cement Concrete Pavement ❑ Other Mix Design No. 1334820 Plant No. 1800 & 1803 Comentitious Materials Source yp , Ci ass or Grade Type, 3 Sp. Gr. T Lhs1ey. Cement CalPoriiand Inc, Type 1111 3.15 480 Fly Asha Headwaters Resources Type F 4,510 2.25 $5 GGBFS(Slag) 4,340 4,440 14 Day Flexurald Latex Strength beamspsi Microsilica Agency Use Only (Check appropirate 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 Concrete Admixtures Manufacturer Product Type Est. Range ozlc Air Entrainment W R. Grace & Co, Daravair =J Vii= - -- 1-10 Water Reducer W R. Grace & Co. WRDA 64 A 10-23 High -Range Water Reducer W R. Grace & Co. Adva 1= 0-25 Set Retarder W R. Grace & Co- Recover D 0-22 Other _ Water (Maximum) 262 lbslcy is any of the water Recycled or Reclaimed? ❑ Yes' 0 No Water Cementitious Ratio (Maximum) 0,466 Mix Design Density Ibst0fd Design Performance 1 2 3 4 5 Average 28 Day Compressive Strep th (cylinders) psi 4,510 3,900 4,910 4,540 4,340 4,440 14 Day Flexurald Strength beamspsi Agency Use Only (Check appropirate 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 LIU ] W .V., --�� « utstritmiom unginai - Contractor ' Revised W05 Copies To - State Materials Lab•StrUelurat Materials Eng.: RQgional Materials Lab; project Inspector Mix Design No. 1334820 Plant No, 1800 & 1803 Aggregate information 1-1f2 inch Concrete Aggregates Component 4 Component Component Component Component Combl ed 1 inch 2 too 3 4 6 Gradation WSDOT Pit No. D-47 0-344 100 > -344 112 inch 100 49.3 WSDOTASR 14 -day 318 inch 100 Results °!o b ❑ Yes Z No ❑ Yes ® No ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No - - Gradingc CL2 #57 48 Percent of Total 42 52 4.0 6 R re ate No. 16 73,2 0.4 3,2 100% Specific Gravity 2.65 2.70 53.7 2.63 2.6 Lbslcy (ssd) 1,275 1,GOO NO, 50 200 0.1 1.3 Percent Passing 4.4 2ineh 100 100 160 1-1f2 inch t00 too 100 1 inch too too 100 314 inch 100 92.7 too 112 inch 100 49.3 10£1 318 inch 100 15.9 98,9 No.4 98.5 1.2 20-0 No.8 57.4 0.8 4.0 No. 16 73,2 0.4 3,2 No. 30 53.7 0.2 2.6 NO, 50 20.4 0.1 1.3 No. 100 4.4 0.0 0.6 No. 200 0.99 0.0 0.3 Fineness Modulus: 2.62 (Required for Class 2 Sand) ASR Mitigation Method Proposed : Use of Low Alkali Cement Notes: d Required for Class 4000D and 4000P mixes. b Alkali Silica Reactivity Mitigation is required for sources Willi expansions over 0,20% - Incidate method for ASR mitigation. For expansion of 0.21 % - o.45%, aeceptable mitigation can be the use of loan alkali cement or 25% type F fly ash. Any other proposed mitigation method or for pits with greater than 0.45% expansion, proof of mitigating ineast:re, either ASTM C 1260 1 AASHT0 T303 test results must be attached. If ASTM C 1293 testing has been submitted indicating 1 -year expansion of 0,04% or less, mitigation is not required. C AASHTO No. 467,57, 67, 7, 8; WSDOT Glass 1, Class 2; orcombined gradation. See Standard Specification 9-03.1. d Required for Cement Concrete Pavements. e Alfach test results Indicating conformance to Standard Specification 9-25.1. f Actual Average Strength as determined from testing or estimated from ACI 211. DOT Fonn 350-040 F F Revised 6,06 590q N! A1ar{linal t+t+ay So. Seattle, WA 98106 V,, v?OR pLAN P[iN 206 76 - F# 205 76A-7176-7116 Mil! Certificate of Analysis Source : Ssatigyong, So Korea We hearby certi ry that CalPatlttnd (Lot N09-145) Tvpe kill Lola Alkali cement meets The Vandal-d regwrentt: u of ASTM C 150.07 for T ypr k and Type 11 low alkali cmient. Additionally CalPordand Type VII Low Alkali ectra;nt rrivel3 the regitirenicllls of AASli7'O M-85 for Type l ceulsnt, Fullttwing are the chemical and physical testing tYsultS of this cement. Asim C15d Chemical Requiremeuts Loth 09-145 Cape Fkallery 'Type ik Test Results Rea uirements T e I Content . , ,. . Silicon dioxide (SM min. °/g _ ___--._-----..__._.... 70.2 o _.....-_.... - --� -a....__ - ------- . ........ xFe2O312OIn� ... ............. �':._.., _ Ferric oxide ....�... ... °°. -,._.... .. 6,E) 3CS .., ,... -- .......... ....... . 1 mmlies- _......_,oxide (MgQ], ,>:aa, °lp..........._._....... _......... . . . . G.0 3 5 Sulfur trinxidc (S03), Hiatt. % � ..----..------ ----- ------ ----- —.. _..__........w.._.----............ .-«............. 3-0 .... T-.......... .... ..... ---3.{l .... ..-___......r_�......__.._ k,l 1nFolab1e resirkac, max. `.a 0.35 0.23 Alkalies (Na20+U.G58 K20), max. 1-ricaletuntalmninalc (OA), max. n 3 %C0'2 -.... ------------- t1 X12 SUC�sCO3 i„ litncstz3nc n,in• 70.n t 94Lintestom max. ....I............... -... ..............,.. .................... ----._..... S.0 OS+4.75.- OA _»._._.. ---- - ... ---- -- -.. h1 Asim C150 Ph-j- icat Requirements Air tauten) afmoriar, max, °/a ..................... 12 6.33 Fineness, specific surrtt ce tnm• * 24n _J91 ..... Autac ave expansion, mai. % p.g 0.04 Compressive sireltgtl, psi, f0pa, nun. Day psi (MPa) --- - 16 90 11.7 Day psi (Ni N) 1450 (10.0) 31505 24,: 7 nay psi (S9 Pa) 2470 (17.0) 4750 32.S 25 Day Psi (A4pa] ------------ Vicat lime of sc€ting, min. not less than, min. 45 123 Vicat lima arscaing, min. �,at�zr atcr 11t;EE,, i�i%n- 375 L voItic- 50.9 • If C35 +(4.75.%0A)> 90 then tile maximum Blaine fineness,hAl he 420 ta�t� June 1, 2009 Technical Services Pig,4LCY6dIc 3UUILt: HpprUVdi MUPOUL ,.�. Washinglan Slate WSDOT MATERIALS LAB v,# Drparlrnent of Trans port allaft Aggregate Source Approval Report Vage 1 at 1 07/10/2009 Owner: tinker Materials Aggregate Source: PS -D-47 Leased Known as: Everett Pit Located in: NW114 SWI/3,NEI/4 Section 1 T28N R4E County: Snohomish Remarks: Concrete Aggregates approved for FINE Aggregates only. Pit faun Materials! Prior to incorporatlnq any of the following into a job, Gradation and Sand Equivalent tests shall be performed to determine if the material does In fact meet specification for the intended use: Backliti for Rock Wag Bacidlll for Sand Drains Bedding Material for Rigid Pipe Bedding Material for Themtoplasfic Pipe Btending Sand Foundation fMateriai for Classes A, a or G Gravel Backfill for Drains and Dywel[s Gravel Backfill for Fonndal'on Class B Gravel Backfill for Pipe Zone Bedding Gravel Backfill for Walls Gravel Borf4w Send Drainage Blanket Seled or Common Borrow Ile Preliminary Tests are required to be performed by the State Materials Lao Gravel Base: Test Date; 11/29/1999 Expiration Date: 11129/2.004 Dfairtage: Free R Value: 70 Swell Pressure- 0 Contact the Regional Materials Office to request PRFLIMINARY SA14PLES be acgolred. Evaluation and approval of this sire as a source of GRAVEL BASE is required prior to use. Mineral Agg. and Surfacing: Test Date: 05/11/19>4 Expiration Dare: 0511112004 Absorphon: Apparent Sp. G.: Burk Sp. G. ISSOj: 2.69 Bulk Sp. C.: Deg. ad LA: 14 Contact the Regional Materials Office to request PRELIMINARY SAMPLES be acquired. Evaluation and approval of this site @s a source of WHERAL AGGREGATES AND SURFACING is required prior to use. Portland Cement Concrete Aggrienatasr Test Date: 06/251200$ Expiration Date: 06/25121113 RSR • 14 Day: 0.38 ASR - One Year: CCA Absorption: CCA Sp.G: FGA Absorption: 1.42 FCA Organic,: 2 FCA Sp. G: 1.653 LA: Mortar Strength: Petrographic Anaiysis: Currently approved for: Fins Concrete Aggregates ASR MITIGATION MEASURES ARE REQUIRED PER WSDOT STD. SPEC. 9-03_L(l), WHEN USING AGGREGATE FROM THISSOURCE FOR PORTLAND CEMENT CONCRETE. Acceptance tests need to be performed as necessary Riprap and Quarry Spalhw Test Oate: 05/11/1944 Expiration Date: osil111495 Absorption: Apparent Sp. G.: Bulk 5p. G. [$SDI: 2.68 Bulk Sp. G.: Deg: 84 LA: 14 Contact the Reg€oval Materials Office to requCst PRE -1 -IMI NARY SANKES be acquired. Evalvadon and approval of this site a5 a source of RIP RAP AND QUARkY SPALLS is required prior to use, Dlstribution: Physical TesUng_ Project Engineer Region Operations Region Materials Aggregate Source Approval System lltip_i/www.wsdol.wa.govlbiz/mats/asa/ASAReport.Cfni?prefix=D&pit_no=47 7/10/2009 Nation -al heady Mixed Concrete Assocl*ation NRMtoA Certificate of Conformance For Concrete Production Facilities THIS IS TO CERTIFY THAT Plant No, 1, E erect, SVA Ceinex, Inc. has been inspected by the undersigned licensed professional engineer for conformancewith the requirements of the Check Listfor Ready A",red Car�crete PrudUclion Facilities. As cflhe inspection date, the facilities met the requirements for production by Central Mixing with Autwnatic Batelzing and Recordings of Ceinen tiomv Materials, Aggregate, ff'ater, and Chemical Adm&tures Signature of t,icensed Prnfessiotsal Erkt;inetr Deceinber 18, 2007 December 18, 2009 Inspection pate CtrlificatiOn Cxpiration Hatt This cnrnparly will rmaintsin these facilities in rnrnpliancc with the Clieck List requirements and will correct promptly any deficiencies which develop. ' J, r, "V, — Z"!j Signutur of Company �Jl�i 'al Title ofCompany ()IRCial NOTICE: The Check List Indicates only that plant taGlfities are saGsfadkxy tar ore prudkx rgrk of thntrele'Mt�1 ywperly aperaied. Cornlormrnei al tt3a t parse le Itself vadk epec&ation tegkrkements with sales Weerrwnts, 7W& terftate is Issued by ft Ulonal Ready Mixed CVxrete AsSariak4 on verification oral ke production iaCility tonloras to the regV4eMft oft* NRMCA CekliScokian of Rekdy Mixed Concede Produo.sDn FaO.'(* Or -3, llnaultokitcd repraduel"nn or misuse of tKscertirrcate inay resafl;nidal ockn_ Plant Tt] H; SQ0090 Certification IDH: 9242 0 1965, 1992. V01,2002.206 National Ready Mixed COntrete Assatiation 900 Spring Street • Silver Spring 0 Matryland2()91D National Ready Mixed Concrete Association Certificate of Conformance For Concrete Production Facilities NRMUA THIS 15 TO CERTIFY THAT Plant No. 2, Everett; WA Ceinex; Inc. has been inspected by the undersigned licensed pro#'essionl1 engineer for conformance with the requirements of the Cheek List jar Ready hlixed Conceere Production Facilities. As Rfthe inspecti€ n date, die facilities met the requirements for production by Centrax Mining with Awoma c Batching arid Recordiiigt o, f ` Cefrmerrtitious Materi"ad's, Aggregate, Water, and Chemical Admtttures Signature ofl.icerrsrd Proft:ssit�nat En inec DeeeinLer ]8, 2007 December 1B 2009 lnspettion Date Certification Expiratioil Date This cornpany will maintain these facilities in wniplialice with the Check-13st requirements andwill correct promptly any defif�encics/hick develop. . C►CComp tial Title orConipany t)frc[a] N O'JFICl;: The Chacir tilt indcalas only that psatrt faeltiiiea ate sa4factury lar the production of rnnuet8,nhavt property 0 taied. Ccxrfum�a re of r,r concrg to kseif with spadircagon requirements must be redled by usual inspection methods in =andante rath s,les agrrernents. This tertrficate is issued by the Natanal Rt<ady Wed Cairrete Assodb nn nn veA-26 n that rho prodwk m Wity c4nfamn to 0)0 mot irenvrniSol the NRWA Cermation of Ready K -'X04 Constete Production Q03. Unauthorued mproduction or misuse of tlris Certificate map resul in icgai actiaa. Plant til f/: 8000$9 Certification I0 ft. 9250 1965, 1 �)42, 2001, 2002, 204G National Deady Mixed Concrete Ass-ociation 900 Spring Street • Silver Spring . Maryland 10910 National Ready Mixed Concrete Association Certificate of Conformance I(T(c . For Concrete Pro duction 'Facilities NRWA THIS IS TO CERTIFY THAT Woodinville Plant No.180,x, Woodinville, WA Cemex, Ine. has been inspected by the undersigned licensed professional engineer for confonnance %vith the requirements of the Check List for Ready Alixed Concrete Productinrn Facilities, As of the inspection date, the facilities net the mgl.lirenients for Production by Central Mixing with Auto uratic RaiellingF and Recordings of Cementitious Materials, A,Wega!te, Winer, 4nd Cheinical Adnrutttres Signature of Licensed PrttressjDnaj_Enj;rae4s _ ____ Navettrber (}9, 2007 Inspection Date November 09 -2.009, Certificatiort FXpa`ation Datc 'T'hi's company will maintain these. facilities in contpliallee With the Check List requirements and will correct Arortiptly any dcIt:ien es which develop. Si at 0 op ally Of ielai Title of Company 4l cial N0110Et The Chad Lig Witales only that plant 100.1, ties are sayslaciory for the producren of toncrele me, properly operaled, ca,frsr .ne of 6t concrete iLeN with s9trafiitafiott requirernenls must ho verified Ly vsua!'usspetiwn methods to aecordanGC vrilhsafes agraernents. TNS cCrliliealeisIssuedEytheNationalHeadyWxedConcreteAstWa Qnenvedfccavonchat the produc6anlact;rycantgrmstotharrqusr¢mer�ofthe WNCA GerbficaWn of Ready Rxed Concrete Production Pad4es, 007. Unauthorized reproductior: or misuse: of this CkIt a may resuY in i�al action. Plant IB B: 903069 Certilicalion 1L) M 9148 0 1965, 1992. 2001, 2002, 2t1U6 National lterdy Mixed Concrete Assadation 900 Spring Street a Silver Spring • Maryland20910 Request for Approval of Material Sources ?lame: 2009 Asph�Overlay project Cemex CoKdo ConInc, Item t14, upavupu n A016.01 Concrete Class 4000, Mix.Design # 1188469_ project# E9CA Fed Aid # 0365(007) Date: 1011109 Approval Materials Laboratory Use Only Sources of supply lar all items checked { ) in approval column are approved for use on the above Improvement provided the materials delivered complp vAth an spWirlea9nns. Approval Aclion Codes for use by Materials Laboratory only. I Source Apploved: Acceptaacebased upon 'satisfectory' test report ror samples of matedafs to be incorporated into project, 2. Source Approved: SubmitWilufaelumf Cedficals of Compliance ror'Approval' prior 10 use of matedal. 3. Source Approved: Submitmlticerts prior to use of material, 4. Source Approved: Submit catalog cuts andfor strop drawings ior'Approvar prior to use ortahrfcallon Of materia(. 5. Source Approved: Only stamped Malls Lab Inspected' or'WSOOT Inspected' material shall be used. 6, Source Approved: Request supplier to provide'Matrs Lab' or'WSDOT' Pipe Arxeptance Report (PAR) victh pipe upon delivery. 7. Source Approved: Submit mix design for'Approval' prior to incorporation of material Into project 8. Approval Wlthlleld: Submil samples for prolimary evatualron. 9, Approval Withheld: Submit brand name, name of manufacturer, treadng plant, orWSDOT Pit number. €0. ApprovalUthlteld: Submiicalelogcuts andlorshoo druMpgsfor appmval. it. Approval Withheld; Subm4b:d item number, %s v t2- Approval Wdhhetd; ►°F�� �p Y �L�A a f3. COndfdonali Approve : Jtt "1 �� 1 � �? a l � �� ear lose -roeshe J e rev the above gems and { ) canck] 1 o M€ concur (attach mmen€S) e seowconsWcfon Engineer clonerefie xAsl v a MAVI/5 op rawin Review ® fe* e No Exeeptians Taken Revise and Resubmit e _ Comments Attached .Furnish as Marked � Rejected This review is only for general conformance with the design concept and general compliance with the approved permit and applicable drawings and specifications. Corrections or comments made on the submittal/shop drawings during this review do not relieve contractor from compliance with the requirements of, nor do they in any way approve, authorize or direct a change to the approved drawings or specifications. Any change, must be specifically authorized in writing by the City prior to proceeding with changed work. Review of a specific item shall not include review of an assembly of which the item is a component. Contractor is responsible for the following: dimensions to be confirmed and correlated at the job site; information that pertains solely to fabrication processes or to the means, methods, techniques and procedures of construction coordination of its work and for performing all work in a safe and satisfactory manner. CITY OF EDMO S: +- fly: Zw- Date: .dft MWasNngton State IlseRartmalnt of Transpartation Concrete Mix Design Conitactor Submitted By v 1� �,.. Date KodoC:onstnirtion Kristine Bahr C� �" �✓ 10/1/2009 Concrete Supplier Plant I-ocatbri CEMI;X I Everett&Woodinvilte, Washinaoton Contract Number Coniraci Name This mix is to be used in the following Bid Item No(s): Concrete Class: (check one only) _ ❑ 3000 0 4000 F -1 4000D❑ 4000P E140001/V ❑ Concrete Ovorlay ❑ Cement Concrete Pavement ❑ Other Remarks: Cla— 4001) /Alr _-- - -- Mix Design No. 1188469 Plant No. ---_ - . 1800 & t 803 . -- Mon ateriaisus Source Type, Class or Grade Sp. Gr. E,bsfcy Cement CAPortland Inc. Type 1/11 3.15 479 Ply AsI1a headwaters Resources Type F 2.25 85 GGBFS(Slag) Latex Strength beamspsi M icrosilica Concrete Admixtures Manufacturer Product Type Est. Range axfc Air Entrainn1ent W.R. Grace & Co, Daravair 1000 r't :"T"=: "i ` k` :ii��=1:,�� •.s,,:,:, tiny, I.-10 Water Reducer W,R- Grace & Co. WRDA 64 A 16-36 High -Range Water Reducer W.K. Grace & Co. Adva F 14.46 Set Retarder - W.R. Grace; & Co. Recover D 0-36 Other Water (Maximum) 254 Ibsky is any of the wa3er Recycled or Reclaimed? ElYess ® No Water Cementitious Ratio (Maximum) 0.455 Mix Design Density 0 lbstcid Design Performance 1 2 3 4 5 Average f 28 Day Compressive Strength (cylinders) psi 5,530 5,860 5.570 5,840 5,780 5,720 14 Day Flexural Strength beamspsi Agency Use Only (Check appropirate Box) This Mix Design MEETS CONTRACT SPECIFICATIONS and may be used on the hid items noted above ❑ This Mix Design DOES NOT MEET CONTRACT SpECIFICATIONS and is being returned for corrections Reviewed By: PC Signature Date vv i rw!— - qv ar u1stfibution: Original- Contractor Revisers 6100 Copies To - State Materials Lab -Structural Materials Eng.: Regional Materials Lab; Project Inspector Mix Design No. 1188469 Plant No. _ _ 1800 & 1803 Aggregate Information Concrete Component Component Component Component Component Combined Aggregates 1 2 3 4 5 Gradation WSDOT Pit No.=: D-47 D-344 D-344 , ;::, t:rx -. ' `•, 314 inch 100 92.7 100 WSDOT ASIR 14 -day 100 49.3 100 Results ❑ Yes Ni) ❑ Yes 0 No ❑ Yes EK No ❑ Yes ❑ No ❑ Yes ❑ Na (%) 98.5 1.2 20,0 Grad'tngc CL,2 #S7 #R No. 16 73.2 0.4 3.2 ' Y 3L a r Percent of Total 41 53 6 Aggregate 20.4 0.1 1.3 100% Specific Gravity 2.65 2.70 2.68 Na. 200 0.99 0.0 0.3 Lbs/cy (,Ssd) 1,248 I,liSO 2{10 Percent Passing 2 inch IOD 100 100 1-1/2 inch 100 100 too 1 inch 100 too 100 314 inch 100 92.7 100 1/2 inch 100 49.3 100 3/8 inch 100 15.9 98.9 No.4 98.5 1.2 20,0 No. g 87.4 0.8 4.0 No. 16 73.2 0.4 3.2 No. 30 5:3.7 0,2 2.6 No. 50 20.4 0.1 1.3 No. 100 4.4 0.0 0.6 Na. 200 0.99 0.0 0.3 Fineness Modulus: 2.62 (Required for Class 2 Sand) ASR Mitigation Method Proposed h: Use of Low Alkali Cement Notes: a Required for Class 4000D and 4000P mixes. b Alkali Silica Reactivity Mitigation is required for sources with expansions over 0,20% - lncidate method for ASR mitigation. For expansion of 0.21% - o.45%, acceptable mitigation can be the use of low alkali cement or 25% type F fly ash. Any other proposed mitigation method or for pits with greater than 0.46% expansion, proof of mitigating measure, either ASTM C1260 I AASHTO T303 test results must be attached. If ASTM C 1293 testing has been submitted indicating 1 -year expansion of 0.04% or less, mitigation is not required, c AASHTO No. 487, 57, 67, 7, 8; WSDOT Class 1, Class 2; or combined gradation. Sao Standard Specification 9-03,1. d Required for Cement Concrete Pavements. e Attach test results indicating confomEance to Standard Specification 9-25.1. f Actual Average Strength as defennined from testing or estimated from ACI 211. 007 I•om 35M40 EF Revised 6100 Washington State Department of Transportation Request for Approval of Material Contract i FA Number Sk pate Section County Contractor Subcontractor For WSDOT Use Only For assistance in completing, see Instructions and Example RAM # Bid Material or Name and Location of Fabricator,PE S ecificatian Appr'E t'ldgtr• Appr'I I Fite Item No i Manufacturer's Productlt a —i Yp Manufacturer or Pit Number _.... Reference No. �_.._._....._--- oncre e Cemex F-v-erett#1WWoodioY]jIe#1503 -6-02,3(2)A Everalt _ rliuuilte.WA.,, I_ Cernent 1 CalPartland Inc. -- Qp i •---........._- .__. ..� ]Fly Ash Headwaw.rs Resources I 9-23.4 ........ _..__ aA%S-T1 :01T.vsle.F — -, _ 1 Ta lorsyille, GA ---.-- -_ QP1,201(1 ;Coarse Aggregate Granite Falls Pit (Pit #D-344) 9-03.1 W IFne Aggtegate Everett Pit (Pit tip 47) t& 2 ! — __ �Wa(ei ----•--- ----- --- Alderwood Water District- Water __ ....... ,._,. 9.25 _ _ W.R. Grace & Co. ;AEA, ASTM C260- 9 23.6 „ .,•,. D ravair 1o13Q _--- 1HRWRA, ASTM 0494 Type F ----- _ - Conneticut W.R_ Grace & Ga. 1 Ql L.300� 9-23.6 I Y --- 9St>a_._.-......._..._._.____� __..Conneticut —0121.30.0 _ ;WRA ASTM 0494 Type A .—_ W.R. Grace & Co, Conneticut 9-23.6— STM 0494 Type D W R• Grace & Co, 9-23.6 r Conneticut 0131 Ififfl; Project Engineer Date State Materials Engineer I)ate I i Approval Action Codes for use by Project Engineer and State Materials Laboratory t. Conditionally Approved: Accaptahca based upon'Satisfactory' Test Report for samples of materials to ba indwporated into project. 2. Conditionally Approved: Submit Mfg_ Cetf. of Compliance for'Approvai' prior to use of material. :3 Conditionally Approved: Submit Catalog Cuts for'ARprovol' prior to use of material. 4. Conditionally Approved: Submit shop Drawings for'Approvaf prior to fabrication of material- s. Conditionally Approved: Only'Approved for Shipment' or'WSDOT Inspected' material shall be used, 6. Conditionally Approved: Submit Materials Cortfflcate of Origin to Project Engineer. 7. Approval Fending: Request Transmitted to State Materials Laboratory for Approval Action. B. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10, Approval With held'. 11. Remarks; Project Engineer Distributlon ❑ Contractor ❑ Region: Materials ❑ Region Operations Engineer Q State Materials Lab M!S 47365 DOT Form 350-071 EF Revised WD7 State Materials Engineer Distribution ❑ General rile ❑ Signing Inspection Fabrication Inspection ❑ Other Request for Approval of Material Sources Contract Name: 2o09 Asphalt Overlay Project Project # 59CA Contractor: Cemex Construction Fed Aid # I 0365(007) Subcontractor., Kodo Construction, Inc. Date: 10}1109 5 std Item No. De$Wpt. A015,01 Trun_ca_ted Domes _ B012.01 _ 6013,01 C013.01 C014.01 C015.01 0016.01 C1-013.01 D1.012At - ion of Material --_ Material Source Approval Action' —_ Local Supplier While Cap Conslrtictlon Supply _ VBngaurdADASysiams._ Manufacturer or Pit # Armor -Tile ADA _ Wdlismsolle,-NY14221___ _. Materials Laboratory Use Only `Sources or supply for 41 ftems chocked( ) in approval column are approvedfor use on the above Improvement provided the maledais delivered comply wih all specifications. Approval Action Codes for use by.tfaiatials Laboratory only. t. Source Approved: Acceptance based upon'Satisraelory test report for samples of materials to be incorporated NO project 2. Source Approved: Submit ManufacturerCerirMte of Comlul6mefor `Approval' prior to use of material. 3. Source Approved: Submit nifterts prior to use of material. 4. Source Approved: Submit catalog ca€s andlor shop dtawfngs for'Approval' prior to use orfabrication of malerbl. 5. Source Approved: Only stamiled Marls Lab Inspected' ar'WSDOT Inspected' materlet shall be used, 6. Source Approved: Request supplier to provide `Mall's Lab' or'WSDOT' Pipe Acceptance Report (PAR) with p€pe upon delivery.. 7, Source Approved: Submit mix design for `Approval` prior to incorporation of matafal Into project. 8. Appluvat Withheld: Subroftsamplas for prerimery evaluation. 9. Approval Withhold: Submit brand name, name or menafacturer, treating plant, or WSDOT PA number. 10. Approval Withhold: Submit catalog arts andlor shop d€arrings forapproval. 11, Approval Withhold: Submit bid item number. 12. ApprovalWithheld: t Ill i#�`° e� �ee/o/ex Me Itf C 13. CocaitionanyApproved: ma -fl- meet 90, ir)e44rdaj � �ti�� r �y 'f. d �J y t /i�./c;rliy f aef iY> i A� Ja Date BT- have Y have reviowed the above Items and ( ) concur, ( } do not concur (attach comments) SubnuttaUShop Drawing It view senior correha,c4on Eng�eer Se No Exceptions Taken Revise and Resubmit _ Furnish as Corrected — Rejected This review is only for general conformance with the design concept and general compliance with the approved permit and applicable drawings and specifications. Corrections or comments made on the submittallshop drawings during this review do not relieve contractor from compliance with the requirements of, nor do they in any way approve, authorize or direct a change to the approved drawings or specifications. Any change, must be specifically authorized in writing by the City prior to proceeding with changed work. Review of a specific item shall not include review of an assembly of which the item is a component. Contractor is responsible for the following: dimensions to be confirmed and correlated at the job site; information that pertains solely to fabrication processes or to the means, methods, techniques and procedures of construction coordination of its work and for performing all work in a safe and satisfactory manner. CITYOV EDMON _Date.A/ 1.375" 020" 1.375" 0,20" 24.625" o rn 1.2625 14 DOMES 0 1.670' 4/C 1.2625' 68 O CI 21 ' 4 O 'n p y � O Z rirpp rn a Q � m C' T W N T 2 z o _ 4za y EAU c7 �zz ®®6®00®00®0080 � ®®000®0000000® ®®0®0000000®®0 _. 0000000004®000 u 0000®800000000 0 0000®0008000®® 880®0000008800 • `� � ®0®000®600®@00 00000®080®0000 8000®®0808000® M O W p n m o 88000080®OB®000 m as®00®®0®000004 � OpQ®®®068agog 0 00000000000 ®® ®®6®00®00®0080 � ®®000®0000000® ®®0®0000000®®0 _. 0000000004®000 u 0000®800000000 0 0000®0008000®® 880®0000008800 `� � ®0®000®600®@00 00000®080®0000 8000®®0808000® O®®000®6000®00 88000080®OB®000 as®00®®0®000004 OpQ®®®068agog 0 oa 0 Z a cN morn w O a o 7 f a° m 0.250" a mo ma s Fl ao" �s N 'oma+ N o c n o N 0.750° IYP. o cz n z 0.1$75° rr3 R .... ...... a 1.870" 11P " ... ra " rr*t ....... P C7 o 0 00 000000000 000000�'S °ci a 00 000000000 000000 0 Gx -U Cl r O O 0000 00000 0 0 E "= 00 00 0000 z o 00 a a OOd o 000 0 ao y aaa000 2d o° 000 r o 00000 0000 w P O 0000000 00000 I� w 00 000000000 00000 0 "F X00 00000000000 0000 pm 000000000 00 000 0000000 0 00000000 OOOQ000 000Q 0600 000 000 z p 0000 000 w in O 00000 Q 0 0 0 0 a 0.0625" 00.45" z 2_� If Z9 of Frnxi n n y Zt7'PoQi(Zml-0O o soo��o `� nooz �p Av $p by 0 6 mmm 8 �O C a Request for Approval of Material Sources Contract Name: 2009 Asphalt Overlay Project Project # E9CA Contractor: Cemex Construction Fed Aid # 0365(007) Subcontractor. Kollo Construction, Inc. Uate: 10!1!09 6 Bid Material Source Approval item No. Description of Material Local Supplier Manufacturer or Pit # Action' Asphalt Expansion Joint Filler Fiber 112" Auburn Concrete W.R. Meadow% Inc._ -- - - -- — -- -- iiamps9hlre,iL60140 _ Materials laboratory Use Only ' Sources of supply for all items checked ( l In approval column are approved for use on the above improvement provided the materials delivered comply with all sperafica(ions. Approval Action Codes for use by Maledafs Laboratory only, 1, Source Approved: Acceptance based upon'Satistactory'test report for samples of materials to be Incorporated into project, 2. SourceApproved: Submit Manufacturer Cedficate of Cofnpilance lor'Approvar prior to use of malarial. 3, Source Approved: Submll mltcerls priorly use of malarial, 4- Source Approved: Submit catalog cuts and/or shop drawings for'Approval' prior to use Or fabrfcWon of materiel, 5. Source Approved: Onfy stamped Mafia Lab inspeciod' er'WSaaT inspected material shall be used. 6. 5ourceApproved: Request supplier to provido'MaPs Lab' or'WSIIOT Pipe Acceptance Report (PAR) with pipe upon delivery, 7. Souhce Approved: Submit mix dost n for'Approvai' pdbrto Itcorporalion of malorlal Into project, 0. Approval Withheld: Submit samples for ptelimary ovaluallon. 9. Approval Withheld: Submit brand name, name of manufacturer, treading plant, or WSCOT Pit nu tier. 10. Approval Withheld: Subm i catalog cuts andmr shop drawings for approval. 11. Approval Withheld: Submit bid Item number.h� �4�i ; ly��� U. Approval Withheld: Na3 t � f J I 11 Conditionally Approved: pate By. City of Edmonds i, have revlewed the above Itoms and ( j concur, ( 1 do not concur {ettaShd �r�tryrtsl 1/Shop Drawing Review Swo ar Cmstucim Engineer [ra VISY and Resubmit — Furnish as Corrected Rejected This review is only for general conformance with the design concept and general compliance with the approved permit and applicable drawings and specifications. Corrections or comments trade on the submittal/shop drawings daring this review do not relieve contractor from compliance with the requirements of, nor do they in any way approve, authorize or direct a change to the approved drawings or specifications. Any change, trust be specifically authorized in writing by the City prior to proceeding with changed work. Review of a specific item shall not include review of an assembly of which the item is a component. Contractor is responsible for the following: dimensions to he confirmed and correlated at the job site; information that pertains solely to fabrication processes or to the means, methods, techniques and procedures of construction coordination of its work and for performing all work in a sate and satisfactory manner. CTTY OF EIDM NDS: �! By.- Dater„�........___ Control Joints Page 1 of 6 03 55 40 07 91 26 No. 320 + LEED Cr dit Ch MM Specification 0 CONTROL JOINTS EXPANSION <--> CONTRACTION DESCRIPTION ASPHALT EXPANSION JOINT is composed of a blend of asphalts, vegetable fibers and mineral fillers formed under heat and pressure >;. between two asphalt -saturated liners. It is waterproof, permanent, flexible and self-sealing. FIBRE EXPANSION JOINT is composed of cellular fibers securely bonded together and uniformly saturated with asphalt to assure longevity. FIBRE EXPANSION JOINT is versatile, resilient, flexible and non -extruding. When compressed to half of its original thickness, it will recover to a minimum of 70% of its original thickness. CER�AMARO Flexible Foam Expansion Joint Filler is composed of a unique blend of isomeric polymers in a very small, closed -cell structure. Gray in color, CERAMAR is a lightweight, highly flexible and resilient material offering recovery qualities of over 99%. This mini closed -cell structure is virtually non-absorbent, It can be wrapped or formed around curved or circular surfaces. SPONGE RUBBER EXPANSION JOINT is produced to a uniform thickness and density from gray -colored, top-quality, blown sponge rubber. It is easily compressed and has a recovery of 95% or more of the original thickness and a density of not less than 30 pounds per cubic foot (480.56 kg per cubic meter). CORK EXPANSION JOINT is produced from clean, selected, granulated cork bonded with a phenolic resin. It is highly resilient, will compress without extrusion and recovers to 95% of its original thickness after 50% compression. SELF -EXPANDING CORK EXPANSION JOINT is formed and compressed under heat and pressure to permit expansion up to 140% of original thickness after installation, which permits the filler to compensate for concrete shrinkage. Normal humidity conditions after installation activate the self -expanding properties of the cork. http;//www.wrtneadows.com/wrm00008,htm 10/1/2009 Page 2 of 6 Control Joints ASPHALT CERAMAR FIBRE SF2UBB E CORK SELF -C RK DING MINIMIZE STRESS DAMAGE AND ENHANCE THE PERFORMANCE CAPABILITIES OF CONCRETE WITH PROPER JOINTING TECHNIQUES To ACCOMMODATE EXPANSION -CONTRACTION CYCLES. Concrete expands and contracts with temperature and moisture changes. As the temperature rises or the moisture content of the concrete increases, expansion takes place. As the temperature drops, the concrete will contract. The provision to accommodate movement at pre- determined locations with proper joint applications prevents the development of stresses that could rupture the concrete. Joint type and spacing will vary with each project according to the type of structure, climatic conditions and anticipated stresses in the concrete. The coefficient of thermal expansion in concrete is 0.0000055 per linear inch of concrete per degree Fahrenheit of temperature change, yielding approximately .66 inch of movement per 100 feet with a 100° F (3$° C) temperature range. To estimate expansion, multiply length in inches x number of degrees of anticipated temperature differential x 0.0000055. Use the resulting anticipated movement to determine correct thickness of the control joint and proper spacing for placement of the joint_ Thinner joints (114", 318" or 112") (6.35 mm, 9.53 mm or 12.7 mm) spaced at frequent intervals offer greater control than thicker joints spaced at greater intervals. The basic concept is to provide ample room for the concrete to expand and contract without creating damaging stresses and resultant cracking. USES ASPHALT EXPANSION JOINT can be used in 80% of all control joint applications. It is ideally suited for joints in sidewalks, driveways, streets, and single- and multi-level floor slabs, Due to its unique self-sealing characteristic, no subsequent joint sealing is required_ FIBRE EXPANSION JOINT is ideal for use on highways, streets, airport runways, sidewalks, driveways, flatwork and scores of commercial and industrial applications.. To isolate filler from sealant, use SNAP -CAP® (Refer to data sheet #324). Seal with #164, HI-SPEC(D or SOF- SEAL@ from W. R. MEADOWS for maximum protection from water infiltration, weathering and to assure proper performance. Refer to data sheet #220, 221 and 224. CERAMAR Flexible Foam Expansion Joint is gray in color and provides an excellent joint filler and buck -up material for use in either horizontal or vertical applications where expansion and contraction movements must be accommodated, CERAMAR is compatible with all currently popular cold -applied sealants, caulks and hot -pour joint sealing compounds. It is lightweight, highly flexible and easy to cut or form in the field without waste. CERAMAR compresses easily for use with shrinkage -compensating concrete and it may be used to relieve stress and pressure in concrete pavements. Refer to data sheet #323. HIGHLY FUNCTIONAL JOINTING AND SEALING SYSTEM: Two excellent products, CERAMAR and GARDOX@) Horizontal Sealant, may be used together to provide an excellent horizontal sealing system for plaza decks, sidewalks, driveways, commercial and industrial floors. Refer to GARDOX data sheet #226. SPONGE RUBBER EXPANSION JOINT is frequently used on bridge structures and sewage treatment plants that undergo rapid changes in temperature. Because of its excellent recovery http./1www.wrmeadows.com/wrm00008,htm 10/1/2409 Control Joints Page 3 of 6 capability during wide temperature variations, SPONGE RUBBER is used around supporting pillars, drains, hydrants, lamp and sign posts, as well as in isolation applications or between materials having dissimilar coefficients of expansion. CORK and SELF -EXPANDING CORK EXPANSION JOINT are used where high resiliency is needed, such as in sewage plants, floodwalls, spillways, filtration plants and in numerous commercial and industrial applications. SELF -EXPANDING CORK is especially desirable where a constant friction -fit is required, 114EA4G11l75 L'!E'JFIP'..l nYCq &. uV.PS. StWIMLIA AND tAH�k 8Yx'tiCf�AAY p9S5GY8 am Chia M SlDavm�.8Y1m 6ri�9cri'C. f�[.aalYi�45 aw 6YkVk 0iy/S"t-Vs SY StLIGRINCa v _el_v LA 4PAM M!bP Wt*W6Ua<3 LMD&Loida MPIu6 pot"s LL:5Ik3irkw ' p1irSaPoYC FEATURESISENEFITS ASPHALT • Non -absorbing. • Used in 80% of all control joint situations. • Protects against water infiltration. • Self-sealing. • Permanent. thct4CkP�E. . ltnR Vt;£S, f%4i1SMIM BU1�Wts3. @1d. LSGE IHIJCN;;lf1!if pLOo.B KYABSI,. R23[iAfi b.�IA Wtz ru�zs.e�nu��, 4YC Zr,t uIn r.�ucee tursr4 �,iAe3 RN[7 W V.LS FIBRE • Non -extruding ... versatile ... offers a minimum of 70% recovery after compression. • A tough, lightweight, easy-to-use, semi-rigid joint filler available in strips and shapes fabricated to most requirements. • Easy to cut... dimensionally stable ... not sticky in summer or brittle in winter. • Manufactured in the U.S.A. - Proven field performance. CERAMAR • Gray color • Lightweight, flexible foam ... forms or wraps around curved or circular surfaces. • Cuts easily on the job with a razor knife ... no breakage or waste. • Offers high resiliency and 99% recovery qualities ... low compression values ... non -- extruding .., virtually non-absorbent. • Resists ultraviolet degradation. • Non -impregnated ,., no staining or bleeding. • Bonds easily with common cartridge adhesives. http;//www.wrnleadows.com/wrm00008.htm 10/1/2009 Control Joints )?age 4 of 6 • Non -gassing. • Compatible with all hot -or cold --applied sealants. SPONGE RUBBER, CORK and SELF -EXPANDING CORK • High resiliency with excellent recovery after compression. • Protects against water infiltration when properly seated. • Easy to handle and install. • Offers isolation capabilities. APPLICATION The type of control joint and spacing used will vary with each project according to the type of structure, climatic conditions and anticipated stresses in the concrete. Thinner joints of 114 (6.35 mm), 318 (9.53 mm) or 112" (12.7 mm) spaced at frequent intervals offer greater control than thicker joints spaced at greater intervals. The basic objective is to provide ample room for the concrete to expand or contract without creating damaging stresses. Expansion joints should be positioned against forms at interrupting objects or columns and against abutting structures prior to the placement of the concrete. ASPHALT EXPANSION JOINT should be recessed 1/4" (6.35 mm) below the concrete surface. A sealant is not required. FIBRE, CERAMAR, SPONGE RUBBER, CORK and SELF- EXPANDING CORK EXPANSION JOINT should be recessed 112" (12.7 mm) below the concrete surface to accept the joint sealant. To isolate filler from sealant, use SNAP -CAP. (Refer to data sheet #324.) SNAP -CAP should be installed flush with the surface. After removal of the top section of SNAP - CAP, the joint opening is ready for sealing with a suitable sealant from W. R. MEADOWS. NOTE: A joint sealer is not required for ASPHALT EXPANSION JOINT. Suitable sealants for horizontal applications of CORK and SELF -EXPANDING CORK EXPANSION JOINT are #164, HI -SPEC, SOF-SEAL, GARDOX, DECK -O -SEAL® and SAFE - SEAL® 3405. GARDOX and DECK -O -SEAL are recommended for use with SPONGE RUBBER EXPANSION JOINT. The recommended sealant for vertical applications is DEC SEAL GUN GRADE. PRECAUTIONS Sheets and cut strips of Asphalt EXPANSION JOINT should be stored on a flat surface. Silicone sealants are not recommended for use with Sponge Rubber EXPANSION JOINT. NOTE: SELF -EXPANDING CORK is shipped in cardboard cartons. This packaging should not be damaged or opened until time of installation. Cartons should not be exposed to weathering, heat or moisture. Due to its light weight, CERAMAR may float and should be held in place by compression or with a mechanical attachment_ Read and follow application information, precautions and Material Safety Data information. CONTROL JOINT SPECIFICATION DATA AND SIZE INFORMATION - Type Conforms to or Meets specifications -_— ASPHALT i . ASTM D 994 r FED. Specification HH -F -104-F-341 F . AASHTO M 33 F � 1 � http://www.wrmeadows.com/wrm.00008.htm Thickness Slab Widths" Widths -_ 1/4" (6.35 mm) 36 318" (8.53 mm) 1(914.4 mm) 1/2" (12.7 mm) 314" (19.05 mm) standard Lengths I 5` (1.62 m) 6`(1.83 m) 10' (3.05 m) 10/112009 Control Joints FIBER CERAMAR f i • FAA Spec, Item P-610-2,71" (25.4 mm) ,.... _ . ASTM D 1751 114" (6.35 mm) • AASHTO M 213 318" (9.53 mm) 112" (12.7 mm) • FAA Specification Item P-610-2.7 314" (19,05 mm) • Corps of Engineers CRD -C 508 1" (25.4 mm) • Fed. Spec. HH -F -104-F-341 F, Type I 36",48" (914.4 mm, 1.22 m) 114" 6 35 mm • ASTM D 1752, Sec. 5.1 through 5.4 with ( ) 48"� " 9.53 mm the compression requirement &modified 318 ( ) 1.22 m 1 ( to 10 psi (7.03 g/mm2) minimum and 25 112" (12.7 mm) it psi (17.5 glmm2) maximum 314" (19.05 mm) • ASTM D 5249, Type 2 1" (25.4 mm) • ASTM 7174-05 114" (6.35 mm) 36" SPONGE • ASTM D 1752, Type I RUBBER • Fed. Specification HH -F -104-F-341 F, 318" (9.63 mm) i (914.4 mm) 112" (12.7 mm) Type II, Class A 314" (19.05 mm) . AASHTO M 153, Type I V (25.4 mm) • FAA Spec. Item P-610-2.7 ) . Corps of Engineers CRD -C 509, Type i _ _ .......... CORK ! • ASTM D 1752, Type 11 • Fed. Specification HH -F-341 F, Type 11, i Class B i s AASHTO M 153, Type Il . FAA Spec. Item P-610-2.7 s Corps of Engineers CRD_C 509, Type II 114" (6.35 mm) i 36" 318" (9.53 mm) _ (914.4 mm) 112" (12.7 MM) i 3/4" (19.05 mm) 1" (25.4 mm) - --SELF-�nW.W . ASTM D 1752, Type 111 112"82.7 mm) EXPANDING • Fed. Spec. HH -F-341 F, TYPE 11, Class 311" " (25 5.4 mm) m) CORK C 1 • AASHTO M 153, Type III • FAA Spec. Item P-610-2.7 • Corps of Engineers CRD -C 509, Type III �� Pre-cut joint furnished in any desired width 24" (610 mm) Page 5 of b 10' (3.45 M) Also available 5', 61,121 1 (1. 5, 1.83, 3.66 m) , (3.05 -m) i 10` (3.05 m) i 3' (.91 m) Precautions Sheets and cut strips of ASPHALT Expansion Joint Fillers should be stored on a flat surface. Silicone Sealants are not recommended for use with SPONGE RUBBER Expansion Joint. NOTE: SELF -EXPANDING CORK is shipped in cardboard cartons. This packaging should not be damaged or opened until time of installation. Cartons should not be exposed to weathering, heat or moisture. Due to its light weight, CERAMAR may float and should be heli in place by compression or with a mechanical attachment. Read and follow application information, precautions and Material Safety Data information. This material last updated March 2007. http:l/www.wrrneadows.coni/wrni00008.htrn 14/1!2009 Page 6 of 6 Control Joints W. R. MEADOWS, INC. HAMPSHIRE, IL FtT kSvIL.LE, GAIYORK, PA PO_ E3oac 3aB • RAMPSNtH.i=, iL 60140.-4338 FORT �I41 1 f3TZ 3, T3C J BE6l1CIA, CA I POMOP44, k Ahnne: 82N A-2144 • fax: E47WS-454A QkJ" f ,ST ALBERT. !0.6 t 84c�3d2 s47e OOODYEAR, AZ MILTON, N, wwwwrmeadouts,r„om LI ITE II W "W_ R_ MEADOWS, INC. wamants at the time and place we rnake sltiptnen1, our.Inateria l will tie l . of good quality and will ctttifartn with our puit#ish apecificatiaas in .force. on the date of acceptance of the [order," head complete �vwmty. dopy furnished upon tnqu t. k Dk a"sm@t• jThe inforntatipn ntsntalned heroin is included for i[lustrative purposes.only, and to the bast of oar knowliedge, is accurate and rellabie, % lk. MEADOWS, Ulric. Cannot however under any ciraumstancex make any guarantee of tesults cr assume any ob"gation car liability in eonnectictn with the use of this information• As W. IL. 'NIF-ADO +, INC. has no control Over the ase to which others: may put its product„ it is recommended that the products be tested to determine if suitable for s` 'fic application andlor nur lnfornuttols is valid III a particular circumstance, llespoitsibility remains rvith the gmilitect or englnm, contractor and owner for the design, app#[cation an¢ proper installation of each product. Specifier and user shall determine the suitability of products for specific application and assume all respotWbilities in cotrneetion therewith. http://www.wrmeadows_com/wrm00008.htm 10/1/2009